Provider Demographics
NPI:1407120017
Name:JUDGE, NATASHA JOE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:JOE
Last Name:JUDGE
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 1:231 E VENTURA BLVD
Mailing Address - Street 2:#133
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0277
Mailing Address - Country:US
Mailing Address - Phone:805-436-3444
Mailing Address - Fax:805-485-4590
Practice Address - Street 1:231 E VENTURA BLVD
Practice Address - Street 2:#133
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0277
Practice Address - Country:US
Practice Address - Phone:805-436-3444
Practice Address - Fax:805-485-4590
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61186122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist