Provider Demographics
NPI:1386839165
Name:FURBER, JULINE KAY (DDS)
Entity Type:Individual
Prefix:
First Name:JULINE
Middle Name:KAY
Last Name:FURBER
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 1:33733 YUCAIPA BLVD
Mailing Address - Street 2:STE 9
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-2256
Mailing Address - Country:US
Mailing Address - Phone:909-790-3459
Mailing Address - Fax:
Practice Address - Street 1:33733 YUCAIPA BLVD
Practice Address - Street 2:STE 9
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-2256
Practice Address - Country:US
Practice Address - Phone:909-790-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29278122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist