Healthcare Provider Details

I. General information

NPI: 1740899350
Provider Name (Legal Business Name): ANGELICA SETO DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2842 FAIRFAX ST
DENVER CO
80207
US

IV. Provider business mailing address

2842 FAIRFAX ST
DENVER CO
80207
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-9070
  • Fax: 720-722-9060
Mailing address:
  • Phone: 720-722-9070
  • Fax: 720-722-9060

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. ANGELICA LECHUGA SETO
Title or Position: OWNER
Credential: DDS
Phone: 720-722-9070