Healthcare Provider Details

I. General information

NPI: 1396608345
Provider Name (Legal Business Name): JASLEEN SETHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10064 BRUCEVILLE RD STE 140
ELK GROVE CA
95757-9519
US

IV. Provider business mailing address

3572 E COMMERCE WAY
SACRAMENTO CA
95834-4076
US

V. Phone/Fax

Practice location:
  • Phone: 437-246-8383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: