Provider Demographics
NPI:1508299637
Name:BROOKS, JULIA HOY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:HOY
Last Name:BROOKS
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 1:3780 KEYSTONE AVE
Mailing Address - Street 2:APT 407
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-6361
Mailing Address - Country:US
Mailing Address - Phone:310-869-2175
Mailing Address - Fax:
Practice Address - Street 1:3780 KEYSTONE AVE #407
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034
Practice Address - Country:US
Practice Address - Phone:310-869-2797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62754122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist