Provider Demographics
NPI:1982125720
Name:KEE, BENJAMIN YU
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:YU
Last Name:KEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YU
Other - Middle Name:
Other - Last Name:QI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5151 EDLOE ST APT 11306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3570 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1110
Practice Address - Country:US
Practice Address - Phone:626-863-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-01
Last Update Date:2018-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice