Provider Demographics
NPI:1508063926
Name:GIULIAN, JOSEPH GILBERT (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:GILBERT
Last Name:GIULIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:GILBERT
Other - Last Name:GIULIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:150 W YOSEMITE AVE
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-5602
Mailing Address - Country:US
Mailing Address - Phone:209-823-9371
Mailing Address - Fax:209-823-8374
Practice Address - Street 1:150 W YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-5602
Practice Address - Country:US
Practice Address - Phone:209-823-9371
Practice Address - Fax:209-823-8374
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264041223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery