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NPI Code Detail

MEDICARE: DR. JULIE ANN FURBY D.D.S.

MEDICARE: DR. JULIE ANN FURBY D.D.S.
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
11223G0001XGeneral Practice Dentistry38521CA

General Provider Information

NPI Number : 1619965720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE ANN FURBY D.D.S.
Provider Business Mailing Address
First Line : 7877 LOOKOUT DR
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-3951
Country : US
Telephone Number : 858-454-5905
Fax Number : 858-454-4525
Provider Business Practice Location Address
First Line : 5442 SYCUAN RD
Second Line :
City : EL CAJON
State : CA
Zip : 92019-1816
Country : US
Telephone Number : 619-445-0707
Fax Number : 619-445-5419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/08/2007

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