Provider Demographics
NPI:1902061047
Name:SEINI, SAMIRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMIRA
Middle Name:
Last Name:SEINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 TRIBECA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-0178
Mailing Address - Country:US
Mailing Address - Phone:714-390-8449
Mailing Address - Fax:714-532-1233
Practice Address - Street 1:1538 E COLLINS AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5934
Practice Address - Country:US
Practice Address - Phone:714-390-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57393122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist