Provider Demographics
NPI:1902027840
Name:EMILIA N SEIFERLING DDS INC
Entity Type:Organization
Organization Name:EMILIA N SEIFERLING DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:NIEDAN
Authorized Official - Last Name:SEIFERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-374-2828
Mailing Address - Street 1:8 NORTH FIFTH STREET
Mailing Address - Street 2:
Mailing Address - City:RIO VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:94571-1620
Mailing Address - Country:US
Mailing Address - Phone:707-374-2828
Mailing Address - Fax:707-374-5093
Practice Address - Street 1:8 NORTH FIFTH STREET
Practice Address - Street 2:
Practice Address - City:RIO VISTA
Practice Address - State:CA
Practice Address - Zip Code:94571-1620
Practice Address - Country:US
Practice Address - Phone:707-374-2828
Practice Address - Fax:707-374-5093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty