Provider Demographics
NPI:1003014515
Name:DUTTON, FRANZISKA KATHLEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANZISKA
Middle Name:KATHLEEN
Last Name:DUTTON
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:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96087-0273
Mailing Address - Country:US
Mailing Address - Phone:415-235-6117
Mailing Address - Fax:510-291-2294
Practice Address - Street 1:2950 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0220
Practice Address - Country:US
Practice Address - Phone:530-241-4134
Practice Address - Fax:530-241-1163
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA489071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice