| Setareh Dental Group Dds, Inc. | |
|
919 W Avenue J Ste C Lancaster CA 93534-3432 | |
| (661) 949-8288 | |
| Not Available |
| Full Name | Setareh Dental Group Dds, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 919 W Avenue J Ste C, Lancaster, California |
| Authorized Official Name and Position | Sepehr Setareh (PRESIDENT) |
| Authorized Official Contact | 3103515153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Setareh Dental Group Dds, Inc. 2385 Roscomare Rd Unit F17 Los Angeles CA 90077-1840 Ph: (310) 351-5153 | Setareh Dental Group Dds, Inc. 919 W Avenue J Ste C Lancaster CA 93534-3432 Ph: (661) 949-8288 |
| NPI Number | 1356823017 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 5294169363 |
|---|---|
| Medicare Enrollment ID | O20191224000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356823017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54203 (California) | Primary |
| Provider Name | Sepehr Setareh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932275062 PECOS PAC ID: 6103250279 Enrollment ID: I20191224000099 |
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