Provider Demographics
NPI:1023473790
Name:BRETT DAVID JULIANO, D.M.D., P.A.
Entity type:Organization
Organization Name:BRETT DAVID JULIANO, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:JULIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-392-9766
Mailing Address - Street 1:801 MEADOWS RD
Mailing Address - Street 2:115
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2346
Mailing Address - Country:US
Mailing Address - Phone:561-392-9766
Mailing Address - Fax:561-392-6121
Practice Address - Street 1:801 MEADOWS RD
Practice Address - Street 2:115
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2346
Practice Address - Country:US
Practice Address - Phone:561-392-9766
Practice Address - Fax:561-392-6121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty