Provider Demographics
NPI:1619497872
Name:JULIA R MORITIS DDS PLLC
Entity Type:Organization
Organization Name:JULIA R MORITIS DDS PLLC
Other - Org Name:MORITIS DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORITIS LOVGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-335-4493
Mailing Address - Street 1:509 OLIVE WAY STE 1520
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1700
Mailing Address - Country:US
Mailing Address - Phone:206-682-7900
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 1520
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1700
Practice Address - Country:US
Practice Address - Phone:206-682-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60022739261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental