Provider Demographics
NPI:1083472831
Name:FRANCO, JANELLE EILEEN (RDH)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:EILEEN
Last Name:FRANCO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:EILEEN
Other - Last Name:HEMSTALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:940 SYLVA LN STE K2
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5969
Mailing Address - Country:US
Mailing Address - Phone:209-536-8600
Mailing Address - Fax:
Practice Address - Street 1:940 SYLVA LN STE K2
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5969
Practice Address - Country:US
Practice Address - Phone:209-536-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28023124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist