MEDICARE: SEEWAN CHIU DDS INC.

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

General Provider Information

NPI Number	:	1861273914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEWAN CHIU DDS INC.

Provider Business Mailing Address
First Line	:	771 SACRAMENTO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-2504
Country	:	US
Telephone Number	:	415-362-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	771 SACRAMENTO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-2504
Country	:	US
Telephone Number	:	415-362-3388
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SEEWAN CHIU
Credential	:	DDS
Telephone Number	:	415-317-8373

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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