MEDICARE: JULIE AU DMD INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1013870120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIE AU DMD INC.

Provider Business Mailing Address
First Line	:	13641 CENTRAL AVE STE G
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5133
Country	:	US
Telephone Number	:	909-628-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	13641 CENTRAL AVE STE G
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5133
Country	:	US
Telephone Number	:	909-628-2333
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIE HSIN TING LEE AU
Credential	:	DMD
Telephone Number	:	909-694-9470

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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