Provider Demographics
NPI:1871813121
Name:FLORES, FRANKIE ROBERTO (DENTURIST)
Entity type:Individual
Prefix:MR
First Name:FRANKIE
Middle Name:ROBERTO
Last Name:FLORES
Suffix:
Gender:M
Credentials:DENTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 N GREENWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-5944
Mailing Address - Country:US
Mailing Address - Phone:509-325-8006
Mailing Address - Fax:
Practice Address - Street 1:1915 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2253
Practice Address - Country:US
Practice Address - Phone:509-327-9591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60034347122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist