Provider Demographics
NPI:1881642478
Name:GAROFALO, JULIA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:GAROFALO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2101 WOODWINDS DR
Mailing Address - Street 2:SUITE #500
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2525
Mailing Address - Country:US
Mailing Address - Phone:651-206-0270
Mailing Address - Fax:651-209-0272
Practice Address - Street 1:2101 WOODWINDS DR
Practice Address - Street 2:SUITE #500
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2525
Practice Address - Country:US
Practice Address - Phone:651-206-0270
Practice Address - Fax:651-209-0272
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN108931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice