Provider Demographics
NPI:1427657261
Name:MARCH, JULIE LYNN (RDH)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:MARCH
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10004 W GLENDON CIR
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1985
Mailing Address - Country:US
Mailing Address - Phone:805-758-1988
Mailing Address - Fax:
Practice Address - Street 1:19871 MITSCHER WAY BLDG 2495
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92145-5103
Practice Address - Country:US
Practice Address - Phone:858-307-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21068124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist