Organization
KATHLEEN A VARLEY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A VARLEY DDS (PRESIDENT)
(614) 864-4200
Entity
Organization
Contact information
Practice address
1600 BRICE RD, REYNOLDSBURG, OH 43068-2795
(614) 864-4200
Mailing address
1600 BRICE RD, REYNOLDSBURG, OH 43068-2795
(614) 864-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022809
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386805695
NPI INDIVIDUAL
OH
01
—
30.022809
STATE LICENSE
OH
Enumeration date
12/11/2012
Last updated
12/11/2012
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