Provider Demographics
NPI:1841671021
Name:SEO, JULIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:SEO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 OLD SPANISH TRL # G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2312
Mailing Address - Country:US
Mailing Address - Phone:281-747-9500
Mailing Address - Fax:
Practice Address - Street 1:3607 OLD SPANISH TRL # G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2312
Practice Address - Country:US
Practice Address - Phone:281-747-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-14
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX335291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program