Provider Demographics
NPI:1568465029
Name:PRYZANT, JULIA ALLISON (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ALLISON
Last Name:PRYZANT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1714
Mailing Address - Country:US
Mailing Address - Phone:713-522-4096
Mailing Address - Fax:713-522-4521
Practice Address - Street 1:1722 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1714
Practice Address - Country:US
Practice Address - Phone:713-522-4096
Practice Address - Fax:713-522-4521
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14355122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist