Provider Demographics
NPI:1619131661
Name:PASTORE, FRANK G (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:PASTORE
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 1:25908 NEWPORT ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584
Mailing Address - Country:US
Mailing Address - Phone:951-301-3655
Mailing Address - Fax:951-301-3935
Practice Address - Street 1:25908 NEWPORT ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584
Practice Address - Country:US
Practice Address - Phone:951-301-3655
Practice Address - Fax:951-301-3935
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice