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General NPI Number Information
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NPI Number | 1376689133
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Entity Type | Organization
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Legal Business Name | MICHAEL D SETO DDS AND THOMAS S MCGALLIARD DDS INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 73151 FRED WARING DRIVE
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City | PALM DESERT
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State | CA
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Zip | 92260
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Country | US
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Telephone | 760-837-0222
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Fax | 760-837-0142
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Provider Business Mailing Address
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Address Line | 73151 FRED WARING DRIVE
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City | PALM DESERT
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State | CA
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Zip | 92260
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Country | US
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Telephone | 760-837-0222
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Fax | 760-837-0142
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. THOMAS SCOTT MCGALLIARD
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Credential | DDS
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Telephone | 760-837-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 36284
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 28357
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License Number State | CA
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