Provider Demographics
NPI:1548460785
Name:SANTACRUZ, FRANCISCO JAVIER
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:SANTACRUZ
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 1:419 W CHAPMAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5907
Mailing Address - Country:US
Mailing Address - Phone:714-993-6667
Mailing Address - Fax:714-993-6667
Practice Address - Street 1:419 W CHAPMAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5907
Practice Address - Country:US
Practice Address - Phone:714-993-6667
Practice Address - Fax:714-993-6667
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA551911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice