Provider Demographics
NPI:1659586717
Name:RYUMAN, DAVID KEUNJOO (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KEUNJOO
Last Name:RYUMAN
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 1:2520 W 8TH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-3861
Mailing Address - Country:US
Mailing Address - Phone:213-386-3366
Mailing Address - Fax:213-386-5669
Practice Address - Street 1:2520 W 8TH ST STE 207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3861
Practice Address - Country:US
Practice Address - Phone:213-386-3366
Practice Address - Fax:213-386-5669
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist