MEDICARE: WONKYU SEO DDS

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	7290	NV

General Provider Information

NPI Number	:	1215586037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WONKYU SEO DDS

Provider Business Mailing Address
First Line	:	1820 E CRAIG RD STE 102
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-3321
Country	:	US
Telephone Number	:	702-680-1009
Fax Number	:	702-577-3937

Provider Business Practice Location Address
First Line	:	1820 E CRAIG RD STE 102
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-3321
Country	:	US
Telephone Number	:	702-680-1009
Fax Number	:	702-577-3937

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	09/04/2019

Similar Medicare Providers

1336629039 — DR. JONATHAN MINSOO SKELTON DMD
Practice Location Address:

1820 E CRAIG RD STE 102
NORTH LAS VEGAS, NV
89030-3321

Practice Phone: 702-680-1009
Practice Fax:

1528633286 — RASOOL MAAN
Practice Location Address:

1820 E CRAIG RD UNIT 102
NORTH LAS VEGAS, NV
89030-3321

Practice Phone: 702-680-1009
Practice Fax:

1245065309 — HEIDI HYE WON KIM DMD
Practice Location Address:

1820 E CRAIG RD STE 102
NORTH LAS VEGAS, NV
89030-3321

Practice Phone: 702-680-1009
Practice Fax:

1134435845 — APRYL KELLY
Practice Location Address:

370 CASA NORTE DR , # 1115
NORTH LAS VEGAS, NV
89031-3321

Practice Phone: 702-205-7468
Practice Fax:

1871928382 — CALVIN FEAGINS
Practice Location Address:

1021 APPALOOSA HILLS AVE
NORTH LAS VEGAS, NV
89081-3321

Practice Phone: 702-403-8268
Practice Fax:

1386285641 — KAI CHUNG
Practice Location Address:

370 CASA NORTE DR
NORTH LAS VEGAS, NV
89031-3321

Practice Phone: 702-685-0273
Practice Fax:

Directions to “ WONKYU SEO DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.