Provider Demographics
NPI:1740407246
Name:GOLDEN, JULIA MORGAN (DDS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MORGAN
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:103 BEETHOVEN AVE
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1731
Mailing Address - Country:US
Mailing Address - Phone:617-916-1844
Mailing Address - Fax:
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:857-364-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029625L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice