Provider Demographics
NPI:1457477416
Name:SEID, GARY L (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:L
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 1:1257 OAKMEAD PKWY
Mailing Address - Street 2:STE A
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4040
Mailing Address - Country:US
Mailing Address - Phone:408-991-9033
Mailing Address - Fax:408-991-9034
Practice Address - Street 1:1257 OAKMEAD PKWY
Practice Address - Street 2:STE A
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4040
Practice Address - Country:US
Practice Address - Phone:408-991-9033
Practice Address - Fax:408-991-9034
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist