Provider Demographics
NPI:1053479097
Name:JULIA, GIL (DMD)
Entity Type:Individual
Prefix:
First Name:GIL
Middle Name:
Last Name:JULIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 AUDELIA RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-6612
Mailing Address - Country:US
Mailing Address - Phone:972-231-0799
Mailing Address - Fax:
Practice Address - Street 1:908 AUDELIA RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-6612
Practice Address - Country:US
Practice Address - Phone:972-231-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice