Organization Name: | FRANK S. SEO, DDS, MPH, INC. |
NPI Number: | 1013296375 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK S SEO (DENTIST) |
Mailing Address: | 4950 Barranca Pkwy Suite 309 Irvine |
State: | CA US |
Postal Code: | 926044671 |
Phone Number: | 9495525055 |
Fax Number: | 9495526613 |
NPI Enumeration Date: | 08/04/2011 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 32394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |