Provider Demographics
NPI:1548796709
Name:LEE & LEE-CULLEN-2, PLLC
Entity Type:Organization
Organization Name:LEE & LEE-CULLEN-2, PLLC
Other - Org Name:CROWN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-977-5300
Mailing Address - Street 1:10260 WESTHEIMER RD STE 390
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3129
Mailing Address - Country:US
Mailing Address - Phone:713-977-5300
Mailing Address - Fax:713-977-5348
Practice Address - Street 1:9426 B CULLEN BLVD.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051
Practice Address - Country:US
Practice Address - Phone:713-977-5300
Practice Address - Fax:713-977-5348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty