Provider Demographics
NPI:1548440613
Name:FRANK, EDWARD THOMAS (DDS)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:THOMAS
Last Name:FRANK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 LOMITA BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3919
Mailing Address - Country:US
Mailing Address - Phone:310-373-9701
Mailing Address - Fax:310-373-9795
Practice Address - Street 1:3610 LOMITA BLVD STE 203
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3919
Practice Address - Country:US
Practice Address - Phone:310-373-9701
Practice Address - Fax:310-373-9795
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211321223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics