Provider Demographics
NPI:1942770490
Name:MORCOS, JULIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:MORCOS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:CAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4110 MOORPARK AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4110 MOORPARK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-1712
Practice Address - Country:US
Practice Address - Phone:617-595-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1033281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice