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Individual
DR. IDA A VARGHESE
Active
Individual
DR. IDA A VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35706
TX
1223G0001X
General Practice Dentistry
35706
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
35706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207ZP0102X
TAXONOMY
TX
Enumeration date
07/19/2017
Last updated
09/11/2026
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