Provider Demographics
NPI:1841537164
Name:MICHAEL D SETO AND THOMAS S MCGALLIARD DDS INC
Entity type:Organization
Organization Name:MICHAEL D SETO AND THOMAS S MCGALLIARD DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:SETO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-837-0222
Mailing Address - Street 1:73151 FRED WARING DR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2843
Mailing Address - Country:US
Mailing Address - Phone:760-837-0222
Mailing Address - Fax:760-837-0142
Practice Address - Street 1:73151 FRED WARING DR
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2843
Practice Address - Country:US
Practice Address - Phone:760-837-0222
Practice Address - Fax:760-837-0142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36284122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty