Provider Demographics
NPI:1033278254
Name:RYU, JUNG-HUN MARTY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNG-HUN
Middle Name:MARTY
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 1:730 CLEVELAND RD W
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1546
Mailing Address - Country:US
Mailing Address - Phone:419-433-7311
Mailing Address - Fax:419-433-2471
Practice Address - Street 1:730 CLEVELAND RD W
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-1546
Practice Address - Country:US
Practice Address - Phone:419-433-7311
Practice Address - Fax:419-433-2471
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-10751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice