Provider Demographics
NPI:1700455011
Name:CEVASCO, FRANCO VICTORIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCO
Middle Name:VICTORIO
Last Name:CEVASCO
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 1:7926 BROADWAY APT 304
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2685
Mailing Address - Country:US
Mailing Address - Phone:512-484-7152
Mailing Address - Fax:
Practice Address - Street 1:5563 DE ZAVALA RD STE 160
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1738
Practice Address - Country:US
Practice Address - Phone:210-696-7885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice