Provider Demographics
NPI:1003091489
Name:FALABELLA, JULIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:
Last Name:FALABELLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11912 VALLEY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-3153
Mailing Address - Country:US
Mailing Address - Phone:626-444-5500
Mailing Address - Fax:626-444-4041
Practice Address - Street 1:11912 VALLEY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-3153
Practice Address - Country:US
Practice Address - Phone:626-444-5500
Practice Address - Fax:626-444-4041
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA498791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice