Provider Demographics
NPI:1053520742
Name:BARRON, JUDITH LOWE (DDS)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:LOWE
Last Name:BARRON
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 1:270 26TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-2566
Mailing Address - Country:US
Mailing Address - Phone:310-395-0588
Mailing Address - Fax:
Practice Address - Street 1:270 26TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-2566
Practice Address - Country:US
Practice Address - Phone:310-395-0588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA274481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice