Provider Demographics
NPI:1710056981
Name:SEUK, GEOFFREY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:D
Last Name:SEUK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3096
Mailing Address - Country:US
Mailing Address - Phone:206-282-3339
Mailing Address - Fax:206-286-1492
Practice Address - Street 1:1530 WESTLAKE AVE N
Practice Address - Street 2:SUITE 500
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3095
Practice Address - Country:US
Practice Address - Phone:206-282-3339
Practice Address - Fax:206-286-1492
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000099741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice