Provider Demographics
NPI:1215236872
Name:PRINCIPATO, JULIA
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:PRINCIPATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:PRINCIPATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:316 DORSET CT
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2500
Mailing Address - Country:US
Mailing Address - Phone:215-527-9446
Mailing Address - Fax:
Practice Address - Street 1:1710 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3352
Practice Address - Country:US
Practice Address - Phone:619-277-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024083L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist