Provider Demographics
NPI:1457518136
Name:OH, STEVE SEYULL
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:SEYULL
Last Name:OH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 BARRANCA PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-8652
Mailing Address - Country:US
Mailing Address - Phone:949-726-0777
Mailing Address - Fax:949-726-0770
Practice Address - Street 1:4980 BARRANCA PKWY STE 160
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8652
Practice Address - Country:US
Practice Address - Phone:949-726-0777
Practice Address - Fax:949-726-0770
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24843122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist