Individual
STEPHANIE R. VARLJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., PH.D.
Contact information
Practice address
712 S LOGAN BLVD, HOLLIDAYSBURG, PA 16648-3032
(814) 946-1950
(814) 946-5725
Mailing address
712 LOGAN BLVD, HOLLIDAYSBURG, PA 16648-3015
(814) 946-1950
(814) 946-5725
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS035329-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000563403
UCCI GRP PIN
PA
01
—
12957648687
GROUP NPI#
PA
01
—
1427192
UCCI PIN
PA
Enumeration date
03/23/2007
Last updated
12/20/2018
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