Provider Demographics
NPI:1689001471
Name:PLAZA, FRANCISCO
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:PLAZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43500 ALGONQUIN DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5424
Mailing Address - Country:US
Mailing Address - Phone:973-223-3842
Mailing Address - Fax:
Practice Address - Street 1:43500 ALGONQUIN DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5424
Practice Address - Country:US
Practice Address - Phone:973-223-3842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-11
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2952000411122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist