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General NPI Number Information
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NPI Number | 1225569692
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Entity Type | Organization
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Legal Business Name | FRANCO DENTAL CORPORATION
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 2321 FOOTHILL BLVD
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City | LA VERNE
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State | CA
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Zip | 91750-3027
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Country | US
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Telephone | 909-596-1861
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 FOOTHILL BLVD
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City | LA VERNE
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State | CA
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Zip | 91750-3027
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Country | US
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Telephone | 909-596-1861
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PACITA DIONISIO FRANCO
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Credential | DMD
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Telephone | 626-482-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40227
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License Number State | CA
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