Provider Demographics
NPI:1467668871
Name:SETHI, HARINDAR S (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:HARINDAR
Middle Name:S
Last Name:SETHI
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 SAN GABRIEL BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3600
Mailing Address - Country:US
Mailing Address - Phone:626-280-4976
Mailing Address - Fax:626-280-4673
Practice Address - Street 1:2111 SAN GABRIEL BLVD STE I
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3600
Practice Address - Country:US
Practice Address - Phone:626-280-4976
Practice Address - Fax:626-280-4673
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADS31382122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist