MEDICARE: GEOFFREY SEUK, DDS, PS

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	DE00009974	WA

General Provider Information

NPI Number	:	1922252451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEOFFREY SEUK, DDS, PS

Provider Business Mailing Address
First Line	:	1530 WESTLAKE AVE. N.
Second Line	:	SUITE 500
City	:	SEATTLE
State	:	WA
Zip	:	98109-3096
Country	:	US
Telephone Number	:	206-282-3339
Fax Number	:	206-286-1492

Provider Business Practice Location Address
First Line	:	1530 WESTLAKE AVE. N.
Second Line	:	SUITE 500
City	:	SEATTLE
State	:	WA
Zip	:	98109-3096
Country	:	US
Telephone Number	:	206-282-3339
Fax Number	:	206-286-1492

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. GEOFFREY SEUK
Credential	:	DDS
Telephone Number	:	206-282-3339

Provider Enumeration Date	:	11/11/2008
Last Update Date	:	11/11/2008

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