Provider Demographics
NPI:1821019977
Name:UM, RHINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:RHINA
Middle Name:
Last Name:UM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10118 GARDEN ROSE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7412
Mailing Address - Country:US
Mailing Address - Phone:407-737-6464
Mailing Address - Fax:407-386-9088
Practice Address - Street 1:11500 UNIVERSITY BLVD
Practice Address - Street 2:STE 101
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-2197
Practice Address - Country:US
Practice Address - Phone:407-737-6464
Practice Address - Fax:407-386-9088
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN162351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice