Provider Demographics
NPI:1508172230
Name:LEDAY HOWELL, JULIA CRYSTAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CRYSTAL
Last Name:LEDAY HOWELL
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 1:6541 SHADY BROOK LN APT 1207
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-9108
Mailing Address - Country:US
Mailing Address - Phone:214-226-9856
Mailing Address - Fax:
Practice Address - Street 1:3501 GUS THOMASSON RD STE 105
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6244
Practice Address - Country:US
Practice Address - Phone:972-388-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX259051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice