Provider Demographics
NPI:1477780286
Name:DAI, MINYUE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MINYUE
Middle Name:
Last Name:DAI
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 1:20423 KUYKENDAHL RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3491
Mailing Address - Country:US
Mailing Address - Phone:617-447-3885
Mailing Address - Fax:
Practice Address - Street 1:20423 KUYKENDAHL RD
Practice Address - Street 2:SUITE 600
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3491
Practice Address - Country:US
Practice Address - Phone:617-447-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855342122300000X
TX288161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0221XDental ProvidersDentistPediatric Dentistry