Provider Demographics
NPI:1427497379
Name:TALALENKO, JULIA (DMD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:TALALENKO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 MISSION HILLS DR
Mailing Address - Street 2:UNIT 122
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-9603
Mailing Address - Country:US
Mailing Address - Phone:239-348-8370
Mailing Address - Fax:
Practice Address - Street 1:7550 MISSION HILLS DR
Practice Address - Street 2:UNIT 122
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9603
Practice Address - Country:US
Practice Address - Phone:239-348-8370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN201971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice