Provider Demographics
NPI:1265631253
Name:URENA DE PAULINO, JUSTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUSTINA
Middle Name:
Last Name:URENA DE PAULINO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 MONROE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1804
Mailing Address - Country:US
Mailing Address - Phone:202-939-2400
Mailing Address - Fax:
Practice Address - Street 1:1618 MONROE ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1804
Practice Address - Country:US
Practice Address - Phone:202-939-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10000531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice