Individual
BRIAN RYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1325 MAIN STREET, 702, KATY, TX 77494
(281) 394-3986
Mailing address
1325 MAIN STREET, 702, KATY, TX 77494
(281) 394-3986
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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