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Individual
JOSE R VARELA
Active
Individual
JOSE R VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11505
NC
1223G0001X
General Practice Dentistry
Primary
11505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11505
NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS
NC
Enumeration date
06/24/2019
Last updated
07/27/2023
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