Jungwoo Seo DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49990 Issued in CA

Legal business name

JUNGWOO SEO DDS, INC

Practice address

7333 Hellman Ave.
Rancho Cucamonga, CA 91730-1302

Phone

(909) 483-0600

Fax

(909) 483-0669

NPI assigned

Apr 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jungwoo Seo, DDS

Title

President

Phone

(949) 861-3131

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1265675318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 HELLMAN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301302",
            "telephone_number": "909-483-0600",
            "fax_number": "909-483-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 HELLMAN AVE.",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301302",
            "telephone_number": "909-483-0600",
            "fax_number": "909-483-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNGWOO SEO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-18",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "JUNGWOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-861-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Alvarez Licensed Clinical Social Worker
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• Jung Yeol Lee DMD Inc
• Hee Seung Jung
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• Johnathon Justice
• Justin a. Fu, MD a Medical Corporation
• Justin T Abo O D a Professional Corporation
• Justin T. Abo, O.D.

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.