Provider Demographics
NPI:1174918031
Name:HAN, RU-MEE (DDS)
Entity type:Individual
Prefix:
First Name:RU-MEE
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CALIFORNIA AVE
Mailing Address - Street 2:APT. B510
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 CALIFORNIA AVE
Practice Address - Street 2:APT. B510
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2850
Practice Address - Country:US
Practice Address - Phone:801-867-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL12509122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist