Seo, Jong Bum

Seo, Jong Bum is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Seo, Jong Bum can be contacted via phone (928) 289-6189.

Contact Information

Primary practice address
500 Indiana Ave Winslow AZ 86047-2169
Phone: (928) 289-6189
Fax: (928) 289-6290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14142 Maryland

Profile Details

NPI number 1356599815
LBN Legal business name Seo, Jong Bum
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Sep 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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