Provider Demographics
NPI:1235226705
Name:FINZEN, FREDERICK CONRAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:CONRAD
Last Name:FINZEN
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 1:707 PARNASSUS AVENUE
Mailing Address - Street 2:D4000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0760
Mailing Address - Country:US
Mailing Address - Phone:415-502-8503
Mailing Address - Fax:415-476-0858
Practice Address - Street 1:707 PARNASSUS AVE
Practice Address - Street 2:D4000
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2210
Practice Address - Country:US
Practice Address - Phone:415-502-8503
Practice Address - Fax:415-476-0858
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics