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General NPI Number Information
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NPI Number | 1972709061
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Entity Type | Individual
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Provider Name | SVETLANA L SEID DMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 SW MAPP RD
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City | PALM CITY
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State | FL
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Zip | 34990-2446
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Country | US
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Telephone | 772-287-6717
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Fax |
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Provider Business Mailing Address
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Address Line | 8909 VIA BRILLIANTE
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City | WELLINGTON
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State | FL
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Zip | 33411-6529
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Country | US
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Telephone | 954-554-4772
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN17987
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License Number State | FL
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