Provider Demographics
NPI:1588873210
Name:OSTERMAN, SETH ROBERT (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:ROBERT
Last Name:OSTERMAN
Suffix:
Gender:M
Credentials:DDS, MS
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Other - First Name:
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Mailing Address - Street 1:895 MORAGA RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5094
Mailing Address - Country:US
Mailing Address - Phone:925-283-1921
Mailing Address - Fax:925-283-7794
Practice Address - Street 1:895 MORAGA RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5094
Practice Address - Country:US
Practice Address - Phone:925-283-1921
Practice Address - Fax:925-283-7794
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA430561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics