Provider Demographics
NPI:1417305160
Name:FRANCK DENTAL CORPORATION
Entity Type:Organization
Organization Name:FRANCK DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-250-3448
Mailing Address - Street 1:3104 SUNSET BLVD
Mailing Address - Street 2:STE 1A
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-3093
Mailing Address - Country:US
Mailing Address - Phone:916-250-3448
Mailing Address - Fax:916-415-1909
Practice Address - Street 1:3104 SUNSET BLVD
Practice Address - Street 2:STE 1A
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-3093
Practice Address - Country:US
Practice Address - Phone:916-250-3448
Practice Address - Fax:916-415-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty