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Individual
BRIAN RYU
Active
Individual
BRIAN RYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12012959A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
38056
TX
Other
Enumeration date
06/15/2018
Last updated
12/01/2024
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