=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477935872
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIA DRABS DMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/22/2015
-----------------------------------------------------
Last Update Date | 06/22/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 N SILVERBELL RD
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85745-2234
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-624-7514
-----------------------------------------------------
Fax | 520-624-7522
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4711 W PLACITA DE SUERTE
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85745-9632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-977-7072
-----------------------------------------------------
Fax | 520-624-7522
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | D009276
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------