Provider Demographics
NPI:1699941690
Name:RHEE, EUGENE YONG (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:YONG
Last Name:RHEE
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 1:7 BOULDER ROCK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-8547
Mailing Address - Country:US
Mailing Address - Phone:386-446-9050
Mailing Address - Fax:386-446-1192
Practice Address - Street 1:7 BOULDER ROCK DR STE 3
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8547
Practice Address - Country:US
Practice Address - Phone:386-446-9050
Practice Address - Fax:386-446-1192
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00127771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice