MEDICARE: DR. JULIA MCGARY DDS

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	9378	WA

General Provider Information

NPI Number	:	1336164169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA MCGARY DDS

Provider Business Mailing Address
First Line	:	505 CEDAR AVE STE C1
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-4561
Country	:	US
Telephone Number	:	360-659-3232
Fax Number	:	360-659-2998

Provider Business Practice Location Address
First Line	:	505 CEDAR AVE STE C1
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-4561
Country	:	US
Telephone Number	:	360-659-3232
Fax Number	:	360-659-2998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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