Provider Demographics
NPI:1740495241
Name:SEOK, BO HYUN (DMD)
Entity type:Individual
Prefix:DR
First Name:BO HYUN
Middle Name:
Last Name:SEOK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-2340
Mailing Address - Country:US
Mailing Address - Phone:201-446-2735
Mailing Address - Fax:201-771-7099
Practice Address - Street 1:3285 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-4228
Practice Address - Country:US
Practice Address - Phone:201-659-4512
Practice Address - Fax:201-656-5525
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02209800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist