Provider Demographics
NPI:1720174188
Name:NEULS, JULIA WILLIAMS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:WILLIAMS
Last Name:NEULS
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 1:2633 E COMMERCIAL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4135
Mailing Address - Country:US
Mailing Address - Phone:954-493-6556
Mailing Address - Fax:954-493-6558
Practice Address - Street 1:2633 E COMMERCIAL BLVD STE B
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4135
Practice Address - Country:US
Practice Address - Phone:954-493-6556
Practice Address - Fax:954-493-6558
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14634122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist