Provider Demographics
NPI:1457552036
Name:CARVALHO, JULIANA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:
Last Name:CARVALHO
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 SHEFFIELD LN
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-6437
Mailing Address - Country:US
Mailing Address - Phone:909-222-9972
Mailing Address - Fax:
Practice Address - Street 1:1625 SHEFFIELD LN
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-6437
Practice Address - Country:US
Practice Address - Phone:909-222-9972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543811223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics