Provider Demographics
NPI:1881802643
Name:TENG, FRANCINE KAZUKO (RDH)
Entity type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:KAZUKO
Last Name:TENG
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13432 SHEPARD WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-2293
Mailing Address - Country:US
Mailing Address - Phone:717-731-8561
Mailing Address - Fax:
Practice Address - Street 1:1299 E WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4832
Practice Address - Country:US
Practice Address - Phone:562-426-0423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15671124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist