Individual provider · Type 1 NPI

Robert Rydstrom, DMD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1073252771 Active

Practice location

150 55th St
Brooklyn, NY 11220-2508

Call (718) 630-7942 Map

Mailing address

15 Hollister Ln
Islip, NY 11751-4003

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073252771

Robert Rydstrom, DMD's National Provider Identifier is 1073252771, issued on Jun 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 1, 2022.