Provider Demographics
NPI:1316518699
Name:RHEE, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:RHEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618TH DENTAL COMPANY
Mailing Address - Street 2:UNIT 15652
Mailing Address - City:KOREA
Mailing Address - State:KOREA
Mailing Address - Zip Code:96271
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:618TH DENTAL COMPANY
Practice Address - Street 2:UNIT 15652
Practice Address - City:KOREA
Practice Address - State:KOREA
Practice Address - Zip Code:96271
Practice Address - Country:KR
Practice Address - Phone:248-345-9732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12341542-9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist