Individual
DAVID A. VARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6068 PALO VERDE DR, ROCKFORD, IL 61114-8116
(815) 877-3264
(815) 877-3294
Mailing address
6068 PALO VERDE DR, ROCKFORD, IL 61114-8116
(815) 877-3264
(815) 877-3294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-017691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000012079
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
IL
Enumeration date
03/24/2006
Last updated
12/20/2011
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