Individual
DR. SAMUEL DAVID SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
10115 SW NIMBUS AVE STE 350, TIGARD, OR 97223-4330
(503) 308-4073
Mailing address
18650 NW CEDAR FALLS LOOP, HILLSBORO, OR 97006-6083
(404) 661-5681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10247
OR
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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