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Individual
DR. ROBERT S JULIAN III
Active
Individual
DR. ROBERT S JULIAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
36161
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
36161
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
36161
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
63994
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A063994
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A063994
CA
2086S0127X
Trauma Surgery Physician
A063994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043403207
MEDICARE - BILLING PROVIDER
CA
01
—
1427119791
MEDICARE - RENDERING/INDIVIDUAL PROV
CA
01
—
36161
DENTAL LICENSE
CA
05
—
63994
—
CA
01
—
A63994
MEDICAL LICENSE
CA
01
—
B36161
DENTICAL PROVIDER #
CA
01
—
GA 1120
GENERAL ANESTHESIA LIC
CA
Enumeration date
12/12/2006
Last updated
03/07/2023
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