Provider Demographics
NPI:1407340722
Name:SETO, ANGELICA LECHUGA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:LECHUGA
Last Name:SETO
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 1:672 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4615
Mailing Address - Country:US
Mailing Address - Phone:817-456-5351
Mailing Address - Fax:
Practice Address - Street 1:672 S VINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4615
Practice Address - Country:US
Practice Address - Phone:817-456-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00203654122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist