Provider Demographics
NPI:1578682621
Name:SETIAN, SARO (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARO
Middle Name:
Last Name:SETIAN
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 1:927 DEEP VALLEY DR
Mailing Address - Street 2:#220
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3808
Mailing Address - Country:US
Mailing Address - Phone:310-377-5566
Mailing Address - Fax:310-377-5568
Practice Address - Street 1:927 DEEP VALLEY DR
Practice Address - Street 2:#220
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3808
Practice Address - Country:US
Practice Address - Phone:310-377-5566
Practice Address - Fax:310-377-5568
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48012122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist