Provider Demographics
NPI:1871765198
Name:AUSTRIA, JUNE V (DDS)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:V
Last Name:AUSTRIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 GELLERT BLVD
Mailing Address - Street 2:241
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2621
Mailing Address - Country:US
Mailing Address - Phone:650-755-1401
Mailing Address - Fax:650-755-1421
Practice Address - Street 1:333 GELLERT BLVD
Practice Address - Street 2:241
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2621
Practice Address - Country:US
Practice Address - Phone:650-755-1401
Practice Address - Fax:650-755-1421
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice