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Individual

BRIAN JEONG HO SEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
135 W JERICHO TPKE, HUNTINGTON STATION, NY 11746-3649
(631) 259-4633
Mailing address
135 W JERICHO TPKE, HUNTINGTON STATION, NY 11746-3649
(631) 259-4633

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058498
NY

Other

Enumeration date
07/01/2015
Last updated
02/16/2024
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Product
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  • Eligibility checks
  • EDI platform