Healthcare Provider Details

I. General information

NPI: 1558280222
Provider Name (Legal Business Name): SETAREH ENGHIAD DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S DORA ST
UKIAH CA
95482-5466
US

IV. Provider business mailing address

620 S DORA ST
UKIAH CA
95482-5466
US

V. Phone/Fax

Practice location:
  • Phone: 707-468-8080
  • Fax:
Mailing address:
  • Phone: 707-468-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SETAREH ENGHIAD
Title or Position: OWNER DENTIST
Credential: DDS, MSC
Phone: 206-530-9959