Provider Demographics
NPI:1912439480
Name:CATIBOG, FRANCESCA (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:CATIBOG
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 1:9613 ANDERSON LAKES PKWY
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-4155
Mailing Address - Country:US
Mailing Address - Phone:951-941-0470
Mailing Address - Fax:
Practice Address - Street 1:9613 ANDERSON LAKES PKWY
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-4155
Practice Address - Country:US
Practice Address - Phone:951-941-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND140811223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice