Provider Demographics
NPI:1154342640
Name:SEINO, JAMES KAZUO (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KAZUO
Last Name:SEINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1943 DEODORA ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3926
Mailing Address - Country:US
Mailing Address - Phone:805-526-1277
Mailing Address - Fax:805-526-7008
Practice Address - Street 1:1943 DEODORA ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3926
Practice Address - Country:US
Practice Address - Phone:805-526-1277
Practice Address - Fax:805-526-7008
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist