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NPI Code Detail

MEDICARE: HAK SEOK DDS

MEDICARE: HAK SEOK 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
11223G0001XGeneral Practice Dentistry14587MD

General Provider Information

NPI Number : 1457665770
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAK SEOK DDS
Provider Business Mailing Address
First Line : 9171 BALTIMORE NATIONAL PIKE STE 125
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-3944
Country : US
Telephone Number : 410-720-2261
Fax Number :
Provider Business Practice Location Address
First Line : 9171 BALTIMORE NATIONAL PIKE STE 125
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-3944
Country : US
Telephone Number : 410-720-2261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2010
Last Update Date : 03/20/2012

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Directions to “ HAK SEOK DDS” Practice Location

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