WILLIAM CHARLES RYSENGA

APO, AP
NPI1851850705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D11084)
Additional Taxonomies122300000X Dentist
(Licence: OR  D11084)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-19
Last Update Date2023-08-21
Business Address
Dr. WILLIAM CHARLES RYSENGA DMD
VINCENT AVENUE BLDG. #626
APO, AP 96368
Phone number: 315-630-4817
Mailing Address
Dr. WILLIAM CHARLES RYSENGA DMD
1230 TAMARACK ST
FRUITLAND, ID 83619-6505
Phone number: 503-446-9823