Provider Demographics
NPI:1366650616
Name:SEID, ALBERT G (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:G
Last Name:SEID
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 PIEDMONT RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2830
Mailing Address - Country:US
Mailing Address - Phone:408-926-0500
Mailing Address - Fax:
Practice Address - Street 1:1239 PIEDMONT RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2830
Practice Address - Country:US
Practice Address - Phone:408-926-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22917122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist