Individual
DR. JAE IL RU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
325 GAMBRILLS RD STE C, GAMBRILLS, MD 21054-1102
(410) 923-0373
Mailing address
325 GAMBRILLS RD STE C, GAMBRILLS, MD 21054-1102
(410) 923-0373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
016.0134023
VT
1223G0001X
General Practice Dentistry
04711
NH
1223G0001X
General Practice Dentistry
Primary
18551
MD
Other
Enumeration date
06/24/2021
Last updated
06/17/2025
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