Provider Demographics
NPI:1689406936
Name:RYU, HO YUN (DDS)
Entity type:Individual
Prefix:
First Name:HO YUN
Middle Name:
Last Name:RYU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6131 LUTHER LN STE 208
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6200
Mailing Address - Country:US
Mailing Address - Phone:214-764-7008
Mailing Address - Fax:
Practice Address - Street 1:6131 LUTHER LN STE 208
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6200
Practice Address - Country:US
Practice Address - Phone:214-764-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX407591223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty