Provider Demographics
NPI:1588819296
Name:CORTEZ, FRANK B (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:B
Last Name:CORTEZ
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 1:3174 E GAGE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5346
Mailing Address - Country:US
Mailing Address - Phone:323-581-3011
Mailing Address - Fax:323-581-3011
Practice Address - Street 1:3174 E GAGE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5346
Practice Address - Country:US
Practice Address - Phone:323-581-3011
Practice Address - Fax:323-581-3011
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31591122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist