Provider Demographics
NPI:1154773224
Name:RHEE, CHRISTINE SOOJUNG (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:SOOJUNG
Last Name:RHEE
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 1:8444 VIA SONOMA UNIT 89
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2726
Mailing Address - Country:US
Mailing Address - Phone:858-519-2626
Mailing Address - Fax:
Practice Address - Street 1:8899 UNIVERSITY CENTER LN STE 190
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1035
Practice Address - Country:US
Practice Address - Phone:858-546-0100
Practice Address - Fax:858-546-0495
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist