Individual
DR. RYAN WILLIAM RENGIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
360 CONNECTICUT AVE, NORWALK, CT 06854-1824
(203) 831-0080
Mailing address
20910 41ST AVE APT 6A, BAYSIDE, NY 11361-1908
(917) 607-1281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12323
CT
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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