MEDICARE: SILVIA A SEU D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D120693	NJ
2	1223G0001X	General Practice Dentistry	DS031085L	PA

General Provider Information

NPI Number	:	1013034982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA A SEU D.D.S.

Provider Business Mailing Address
First Line	:	642 ROUTE 739
Second Line	:
City	:	LORDS VALLEY
State	:	PA
Zip	:	18428-6072
Country	:	US
Telephone Number	:	570-938-2997
Fax Number	:

Provider Business Practice Location Address
First Line	:	642 ROUTE 739
Second Line	:
City	:	LORDS VALLEY
State	:	PA
Zip	:	18428-6072
Country	:	US
Telephone Number	:	570-938-2997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	09/17/2019

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