Provider Demographics
NPI:1578582151
Name:FRANK, THERESA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MARIA
Last Name:FRANK
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 1:990 W FREMONT AVE
Mailing Address - Street 2:B
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3021
Mailing Address - Country:US
Mailing Address - Phone:408-245-2640
Mailing Address - Fax:408-735-8727
Practice Address - Street 1:990 W FREMONT AVE
Practice Address - Street 2:B
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3021
Practice Address - Country:US
Practice Address - Phone:408-245-2640
Practice Address - Fax:408-735-8727
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA317841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice