Healthcare Provider Details

I. General information

NPI: 1528433885
Provider Name (Legal Business Name): MICHAEL FRENCH DDS DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 12/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MORNINGSTAR DR
SONORA CA
95370
US

IV. Provider business mailing address

800 MORNING STAR DR
SONORA CA
95370-9260
US

V. Phone/Fax

Practice location:
  • Phone: 209-588-8400
  • Fax: 209-588-8811
Mailing address:
  • Phone: 209-588-8400
  • Fax: 209-588-8811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number72844
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL LOUIS FRENCH
Title or Position: OWNER
Credential: DDS
Phone: 209-588-8400