Provider Demographics
NPI:1669628350
Name:MAJUL, YURI D (D,M,D,)
Entity Type:Individual
Prefix:
First Name:YURI
Middle Name:D
Last Name:MAJUL
Suffix:
Gender:F
Credentials:D,M,D,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21095 REYNOLDS POND RD
Mailing Address - Street 2:
Mailing Address - City:ELLENDALE
Mailing Address - State:DE
Mailing Address - Zip Code:19941-2644
Mailing Address - Country:US
Mailing Address - Phone:302-465-1376
Mailing Address - Fax:
Practice Address - Street 1:26670 CENTERVIEW DR
Practice Address - Street 2:UNIT 19
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-3584
Practice Address - Country:US
Practice Address - Phone:302-297-3750
Practice Address - Fax:302-297-0355
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10001260122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1669628350Medicaid