Provider Demographics
NPI:1487037362
Name:SETHI, AMRIT KAUR
Entity Type:Individual
Prefix:
First Name:AMRIT
Middle Name:KAUR
Last Name:SETHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2309
Mailing Address - Country:US
Mailing Address - Phone:415-872-9020
Mailing Address - Fax:415-872-9064
Practice Address - Street 1:401 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2309
Practice Address - Country:US
Practice Address - Phone:415-872-9020
Practice Address - Fax:415-872-9064
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63892122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist