Provider Demographics
NPI:1811326879
Name:FOX, JULIA (RDH)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:FOX
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 1:914 NW 297TH CIR
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-8722
Mailing Address - Country:US
Mailing Address - Phone:360-281-7020
Mailing Address - Fax:
Practice Address - Street 1:914 NW 297TH CIR
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-8722
Practice Address - Country:US
Practice Address - Phone:360-281-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-10
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH 60404852124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist