Individual
GOPIMANOHAR NANGIR VARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1011 N BROAD ST, LANSDALE, PA 19446-1101
(215) 393-9008
(215) 393-9015
Mailing address
1011 N BROAD ST, LANSDALE, PA 19446-1101
(215) 393-9008
(215) 393-9015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS030719L
PA
1223G0001X
General Practice Dentistry
Primary
DS030719L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019584070002
—
PA
05
—
0195840701
—
PA
Enumeration date
04/10/2007
Last updated
05/24/2023
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