Provider Demographics
NPI:1407105075
Name:LAI, HONG YEN (DDS)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:YEN
Last Name:LAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YEN
Other - Middle Name:HONG
Other - Last Name:LAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9648 W. FM 1960 BYPASS
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-540-8100
Mailing Address - Fax:
Practice Address - Street 1:9648 W. FM 1960 BYPASS
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-540-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28216122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist