Provider Demographics
NPI:1932481421
Name:MUDITA SETHI DMD PLLC
Entity Type:Organization
Organization Name:MUDITA SETHI DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MUDITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:972-423-3539
Mailing Address - Street 1:1301 CUSTER RD
Mailing Address - Street 2:STE #460
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7491
Mailing Address - Country:US
Mailing Address - Phone:972-423-3539
Mailing Address - Fax:
Practice Address - Street 1:1301 CUSTER RD
Practice Address - Street 2:STE #460
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7491
Practice Address - Country:US
Practice Address - Phone:972-423-3539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX258871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty