Provider Demographics
NPI:1679336028
Name:URBN DENTAL HEIGHTS HM, PLLC
Entity type:Organization
Organization Name:URBN DENTAL HEIGHTS HM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYUNGLIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-742-7306
Mailing Address - Street 1:714 YALE ST STE 2Z
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2978
Mailing Address - Country:US
Mailing Address - Phone:281-609-9877
Mailing Address - Fax:
Practice Address - Street 1:714 YALE ST STE 2Z
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2978
Practice Address - Country:US
Practice Address - Phone:281-609-9877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental