Provider Demographics
NPI:1588543565
Name:MAGAKAT, JULIANNE ELORA (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:ELORA
Last Name:MAGAKAT
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 1:3060 CANYON VISTA DR
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-9770
Mailing Address - Country:US
Mailing Address - Phone:909-213-8282
Mailing Address - Fax:
Practice Address - Street 1:3060 CANYON VISTA DR
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-9770
Practice Address - Country:US
Practice Address - Phone:909-213-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1122941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice