Provider Demographics
NPI:1316145964
Name:PACITA D. FRANCO, D.D.S., INC.
Entity type:Organization
Organization Name:PACITA D. FRANCO, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PACITA
Authorized Official - Middle Name:DIONISIO
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-795-6566
Mailing Address - Street 1:324 N ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1604
Mailing Address - Country:US
Mailing Address - Phone:626-795-6566
Mailing Address - Fax:888-384-5945
Practice Address - Street 1:324 N ALLEN AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1604
Practice Address - Country:US
Practice Address - Phone:626-795-6566
Practice Address - Fax:888-384-5945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40227122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB4022703Medicaid