Provider Demographics
NPI:1093822892
Name:RICHMAN, JULIA A (DDS MSD MPH)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:DDS MSD MPH
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17265 SE WAX RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-9102
Mailing Address - Country:US
Mailing Address - Phone:253-220-7345
Mailing Address - Fax:253-248-0162
Practice Address - Street 1:17265 SE WAX RD STE 103
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-9102
Practice Address - Country:US
Practice Address - Phone:253-220-7345
Practice Address - Fax:253-248-0162
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600699481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1093822892Medicaid