Provider Demographics
NPI:1902814981
Name:FRANCISCO, IRMA ALCANTARA (DDS)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:ALCANTARA
Last Name:FRANCISCO
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 1:4750 ALMADEN EXPRESSWAY
Mailing Address - Street 2:STE N
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118
Mailing Address - Country:US
Mailing Address - Phone:408-264-5880
Mailing Address - Fax:408-264-7888
Practice Address - Street 1:4750 ALMADEN EXPRESSWAY
Practice Address - Street 2:STE N
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118
Practice Address - Country:US
Practice Address - Phone:408-264-5880
Practice Address - Fax:408-264-7888
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43009122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist