Provider Demographics
NPI:1942432786
Name:SAVINA, JULIA V (DDS)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:V
Last Name:SAVINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GREENRIDGE DR
Mailing Address - Street 2:#209
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8849
Mailing Address - Country:US
Mailing Address - Phone:925-788-6696
Mailing Address - Fax:
Practice Address - Street 1:200 GREENRIDGE DR
Practice Address - Street 2:#209
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8849
Practice Address - Country:US
Practice Address - Phone:925-788-6696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD93141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice