Provider Demographics
NPI:1336379080
Name:RHA, JIHOON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JIHOON
Middle Name:
Last Name:RHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JI
Other - Middle Name:HOON
Other - Last Name:RHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2000 ESTERS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-9531
Mailing Address - Country:US
Mailing Address - Phone:972-871-9800
Mailing Address - Fax:
Practice Address - Street 1:2000 ESTERS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-9531
Practice Address - Country:US
Practice Address - Phone:972-871-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24727122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist