Provider Demographics
NPI:1801012885
Name:SENISE, FRANCIS PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:PAUL
Last Name:SENISE
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 1:410 S GLENDORA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-6210
Mailing Address - Country:US
Mailing Address - Phone:626-914-4551
Mailing Address - Fax:626-914-4553
Practice Address - Street 1:410 S GLENDORA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6210
Practice Address - Country:US
Practice Address - Phone:626-914-4551
Practice Address - Fax:626-914-4553
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA185011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB18501-01OtherDENTI-CAL IDENTIFICATION