Provider Demographics
NPI:1053523928
Name:MOL, JULIE HUH (DDS, MS, PA)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:HUH
Last Name:MOL
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Gender:F
Credentials:DDS, MS, PA
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Mailing Address - Street 1:5726 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6296
Mailing Address - Country:US
Mailing Address - Phone:919-405-7111
Mailing Address - Fax:919-405-7222
Practice Address - Street 1:5726 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6296
Practice Address - Country:US
Practice Address - Phone:919-405-7111
Practice Address - Fax:919-405-7222
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC1074671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty