Provider Demographics
NPI:1760378277
Name:MARIN, JULIANA (DMD)
Entity type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:
Last Name:MARIN
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 1:3849 NW 62ND CT
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2129
Mailing Address - Country:US
Mailing Address - Phone:561-455-6265
Mailing Address - Fax:
Practice Address - Street 1:5810 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2158
Practice Address - Country:US
Practice Address - Phone:754-778-0276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30361122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist