Doctor Name: | DR. PAUL K SEO |
NPI Number: | 1174787139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S., M.S. |
License Number: | DT-1421 |
Business Practice Address: | 98-1254 Kaahumanu St Ste A5 Pearl City, HI - 967823200 |
Business Phone Number: | 8084868881 |
Business Fax Number: | |
Mailing Address: | 98-1254 Kaahumanu St Ste A5, PEARL CITY |
State: | HI |
Postal Code: | 967823200 |
Phone Number: | 8084868881 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DT-1421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |