Provider Demographics
NPI:1942700810
Name:ABAD, FRANCINE HAZEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:HAZEL
Last Name:ABAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:FRANCINE
Other - Middle Name:HAZEL
Other - Last Name:REAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 BUXTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-1008
Mailing Address - Country:US
Mailing Address - Phone:650-759-6987
Mailing Address - Fax:
Practice Address - Street 1:2050 JUDAH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1531
Practice Address - Country:US
Practice Address - Phone:415-681-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2018-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1005721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice