Provider Demographics
NPI:1235650631
Name:IM, WHAN YEE (DMD)
Entity Type:Individual
Prefix:
First Name:WHAN
Middle Name:YEE
Last Name:IM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 HOMESTEAD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028-2149
Mailing Address - Country:US
Mailing Address - Phone:713-631-3700
Mailing Address - Fax:
Practice Address - Street 1:8300 HOMESTEAD RD STE 3
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-2149
Practice Address - Country:US
Practice Address - Phone:713-631-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33183122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist