Provider Demographics
NPI:1780892000
Name:BRAND, JULIA F (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:F
Last Name:BRAND
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 1:1121 HUNT CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9719
Mailing Address - Country:US
Mailing Address - Phone:410-252-0543
Mailing Address - Fax:410-252-2137
Practice Address - Street 1:2340 YORK RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2216
Practice Address - Country:US
Practice Address - Phone:410-252-0543
Practice Address - Fax:410-252-2137
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice