Provider Demographics
NPI:1609008242
Name:BIANCA, FRANK J (DDS)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:BIANCA
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 1:12704 HOLIDAY LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1198
Mailing Address - Country:US
Mailing Address - Phone:301-262-2252
Mailing Address - Fax:
Practice Address - Street 1:12704 HOLIDAY LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1198
Practice Address - Country:US
Practice Address - Phone:301-262-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-16
Last Update Date:2009-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4137122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist