Healthcare Provider Details

I. General information

NPI: 1114974409
Provider Name (Legal Business Name): FRANK S. FRATTO JR. D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 MAIN ST
CAMBRIA CA
93428-3022
US

IV. Provider business mailing address

2150 MAIN ST
CAMBRIA CA
93428-3022
US

V. Phone/Fax

Practice location:
  • Phone: 805-927-4811
  • Fax: 805-927-0818
Mailing address:
  • Phone: 805-927-4811
  • Fax: 805-927-0818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number31611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: