Provider Demographics
NPI:1992886147
Name:SEIN, PETER T (DDS)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:T
Last Name:SEIN
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 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:25395 MADISON AVE
Practice Address - Street 2:STE. 103
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9003
Practice Address - Country:US
Practice Address - Phone:951-696-5660
Practice Address - Fax:951-696-5632
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA381301223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics