Provider Demographics
NPI:1750520854
Name:DR RHA'S DENTAL OFFICE INC
Entity type:Organization
Organization Name:DR RHA'S DENTAL OFFICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYUNG
Authorized Official - Middle Name:RHAN
Authorized Official - Last Name:RHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-246-0300
Mailing Address - Street 1:1240 SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4517
Mailing Address - Country:US
Mailing Address - Phone:408-246-0300
Mailing Address - Fax:408-246-0518
Practice Address - Street 1:1240 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050
Practice Address - Country:US
Practice Address - Phone:408-246-0300
Practice Address - Fax:408-246-0518
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTA CLARA DENTAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47166261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental