Provider Demographics
NPI:1457481525
Name:REDER, SETH L (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:L
Last Name:REDER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 CREEKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-3168
Mailing Address - Country:US
Mailing Address - Phone:415-516-4568
Mailing Address - Fax:
Practice Address - Street 1:631 E ALVIN DR
Practice Address - Street 2:SUITE E
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3056
Practice Address - Country:US
Practice Address - Phone:415-516-4568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560121223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry