Provider Demographics
NPI:1871724906
Name:CHOUNG LEE, JENNY DAHEE (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNY
Middle Name:DAHEE
Last Name:CHOUNG LEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JENNY
Other - Middle Name:DAHEE
Other - Last Name:CHOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7777 KATY FWY # 156
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2003
Mailing Address - Country:US
Mailing Address - Phone:832-618-7951
Mailing Address - Fax:
Practice Address - Street 1:20131 HIGHWAY 59 N STE 1238
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2332
Practice Address - Country:US
Practice Address - Phone:281-446-4237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice