Provider Demographics
NPI:1861881021
Name:HE, JULIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:HE
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 1:201 S CATALINA AVE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3220
Mailing Address - Country:US
Mailing Address - Phone:310-709-9251
Mailing Address - Fax:
Practice Address - Street 1:201 S CATALINA AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3220
Practice Address - Country:US
Practice Address - Phone:310-709-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47372122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist