Provider Demographics
NPI:1740259027
Name:JONES, JULIUS ROBERT JR (DDS)
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:ROBERT
Last Name:JONES
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5563 W PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-3920
Mailing Address - Country:US
Mailing Address - Phone:323-938-4136
Mailing Address - Fax:323-938-1721
Practice Address - Street 1:5563 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-3920
Practice Address - Country:US
Practice Address - Phone:323-938-4136
Practice Address - Fax:323-938-1721
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40839122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist