MEDICARE: DR. SVETLANA L SEID DMD

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	122300000X	Dentist	DN17987	FL

General Provider Information

NPI Number	:	1972709061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SVETLANA L SEID DMD

Provider Business Mailing Address
First Line	:	8909 VIA BRILLIANTE
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33411-6529
Country	:	US
Telephone Number	:	954-554-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 SW MAPP RD
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2446
Country	:	US
Telephone Number	:	772-287-6717
Fax Number	:

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	07/08/2007

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