Individual
DR. AJAY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12569 NEWPORT AVE, TUSTIN, CA 92780-2420
(714) 544-2220
Mailing address
12569 NEWPORT AVE, TUSTIN, CA 92780-2420
(714) 544-2220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00205400
CO
1223P0300X
Periodontics
Primary
DDS111275
CA
Other
Enumeration date
11/18/2022
Last updated
07/18/2025
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