Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 4520 | MD |
Y | 1223D0001X | Dental Public Health | 4520 | MD |
NPI | 1477818979 |
---|---|
Provider Name | Dr. Robert Stepnen Seif |
First Address | Salisbury, MD 21801-4120 |
Second Address | Salisbury, MD 21801-4120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 10/07/2012 |