Individual
R. DAVID RYNEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
11401 HEACOCK ST STE 300, MORENO VALLEY, CA 92557-7908
(951) 247-7228
Mailing address
11401 HEACOCK ST STE 300, MORENO VALLEY, CA 92557-7908
(951) 247-7228
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22024
CA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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