Provider Demographics
NPI:1457610271
Name:LASKIN, JULIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:LASKIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13741 E RICE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1082
Mailing Address - Country:US
Mailing Address - Phone:303-617-5212
Mailing Address - Fax:303-617-5214
Practice Address - Street 1:13741 E RICE PL STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1082
Practice Address - Country:US
Practice Address - Phone:303-617-5212
Practice Address - Fax:303-617-5214
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist