Basic Information
| Provider Information | |||||||||
| NPI: | 1326662917 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HIDEKI SETO, DDS PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 42816 LONGWORTH TER | ||||||||
| Address2: | |||||||||
| City: | CHANTILLY | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201526673 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6463394311 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8551 RIXLEW LN STE 130 | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201094277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6463394311 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2020 | ||||||||
| LastUpdateDate: | 05/30/2020 | ||||||||
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| AuthorizedOfficialLastName: | SETO | ||||||||
| AuthorizedOfficialFirstName: | HIDEKI | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DENTIST | ||||||||
| AuthorizedOfficialTelephone: | 6463394311 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DDS | ||||||||
| NPICertificationDate: | 05/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QD0000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Dental |
No ID Information.