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Organization
LLANELL VARARAJ DENTAL INC
Active
Organization
LLANELL VARARAJ DENTAL INC
Active
Other names
Ivory Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLANELL VARARAJ DDS (DENTIST)
(209) 599-4176
Entity
Organization
Contact information
Practice address
102 SOUTH WALNUT AVENUE, RIPPON, CA 95366
(209) 599-4176
(209) 599-4178
Mailing address
102 SOUTH WALNUT AVENUE, RIPPON, CA 95366
(209) 599-4176
(209) 599-4178
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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