Individual
TYRUN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.,S.
Contact information
Practice address
50 POPHAM RD STE 5/8, SCARSDALE, NY 10583-4253
(914) 725-2606
(914) 725-1871
Mailing address
50 POPHAM RD STE 5/8, SCARSDALE, NY 10583-4253
(914) 725-2606
(914) 725-1871
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057182-1
NY
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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