MEDICARE: DR. FRANCINE HAZEL ABAD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	100572	CA

General Provider Information

NPI Number	:	1942700810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCINE HAZEL ABAD DDS

Provider Business Mailing Address
First Line	:	130 BUXTON AVE
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-1008
Country	:	US
Telephone Number	:	650-759-6987
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 JUDAH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1531
Country	:	US
Telephone Number	:	415-681-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2018
Last Update Date	:	02/17/2018

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