Provider Demographics
NPI:1154763688
Name:ALL ABOUT SMILES, INC
Entity type:Organization
Organization Name:ALL ABOUT SMILES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:RYNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:763-717-3989
Mailing Address - Street 1:1611 COUNTY HIGHWAY 10
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2124
Mailing Address - Country:US
Mailing Address - Phone:763-717-3989
Mailing Address - Fax:763-717-3952
Practice Address - Street 1:1611 COUNTY HIGHWAY 10
Practice Address - Street 2:
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-2124
Practice Address - Country:US
Practice Address - Phone:763-717-3989
Practice Address - Fax:763-717-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND10333122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty