Provider Demographics
NPI:1871331017
Name:RUMINSON, JULIE (RDH)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:RUMINSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20601 PAOLI LN
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:CA
Mailing Address - Zip Code:95713-9629
Mailing Address - Country:US
Mailing Address - Phone:916-717-1527
Mailing Address - Fax:
Practice Address - Street 1:20601 PAOLI LN
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:CA
Practice Address - Zip Code:95713-9629
Practice Address - Country:US
Practice Address - Phone:916-717-1527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17290124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist