Provider Demographics
NPI:1164162228
Name:FRANCO, KRISTEN O (RDHAP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:O
Last Name:FRANCO
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7746 ALCOVE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-2016
Mailing Address - Country:US
Mailing Address - Phone:818-523-4284
Mailing Address - Fax:
Practice Address - Street 1:7746 ALCOVE AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-2016
Practice Address - Country:US
Practice Address - Phone:818-523-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist