Individual
JULIANA BATISTA MELO DA FONTE
Active
Individual
JULIANA BATISTA MELO DA FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
FAC-40248
IA
390200000X
Student in an Organized Health Care Education/Training Program
13873
CT
Other
Enumeration date
07/24/2023
Last updated
06/26/2026
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