Provider Demographics
NPI:1063535003
Name:DIFRANCO, GERALDINE ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:ANN
Last Name:DIFRANCO
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 1:10059 S ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1560
Mailing Address - Country:US
Mailing Address - Phone:708-430-1133
Mailing Address - Fax:708-430-5979
Practice Address - Street 1:10059 S ROBERTS RD
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1560
Practice Address - Country:US
Practice Address - Phone:708-430-1133
Practice Address - Fax:708-430-5979
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics