Provider Demographics
NPI:1578112322
Name:SEO, YOU SEEN (DDS)
Entity type:Individual
Prefix:DR
First Name:YOU SEEN
Middle Name:
Last Name:SEO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 VIOLET FIELDS WAY UNIT 218
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5660
Mailing Address - Country:US
Mailing Address - Phone:516-838-4280
Mailing Address - Fax:
Practice Address - Street 1:941 HEATHER PARK DR STE A
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4592
Practice Address - Country:US
Practice Address - Phone:919-772-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190323901223G0001X
NC14013122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice