Provider Demographics
NPI:1861699167
Name:FRANCO ZORRO, DIANA M (DDS)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:M
Last Name:FRANCO ZORRO
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 1:10350 CRESTGATE TER APT 302
Mailing Address - Street 2:302
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1808
Mailing Address - Country:US
Mailing Address - Phone:919-630-1362
Mailing Address - Fax:
Practice Address - Street 1:10350 CRESTGATE TER APT 302
Practice Address - Street 2:302
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-1808
Practice Address - Country:US
Practice Address - Phone:919-630-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist