Provider Demographics
NPI:1487824819
Name:RHEE, TIMOTHY KEY YOUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:KEY YOUNG
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 1:19851 YORBA LINDA BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-2864
Mailing Address - Country:US
Mailing Address - Phone:714-777-9403
Mailing Address - Fax:
Practice Address - Street 1:19851 YORBA LINDA BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-2864
Practice Address - Country:US
Practice Address - Phone:714-777-9403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA551611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice