Provider Demographics
NPI:1114946498
Name:SETH, GEETA KETAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEETA
Middle Name:KETAN
Last Name:SETH
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 1:1120 W. WARNER AVENUE
Mailing Address - Street 2:SUITE # C
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707
Mailing Address - Country:US
Mailing Address - Phone:714-556-4740
Mailing Address - Fax:714-556-4750
Practice Address - Street 1:1120 W. WARNER AVENUE
Practice Address - Street 2:SUITE # C
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707
Practice Address - Country:US
Practice Address - Phone:714-556-4740
Practice Address - Fax:714-556-4750
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA463281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9346001OtherDENTI-CAL