Organization
LLANELL VARARAJ DENTAL INC
Active
Other names
Ivory Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLANELL VARARAJ DDS (DENTIST)
(209) 599-4176
Entity
Organization
Contact information
Practice address
102 SOUTH WALNUT AVENUE, RIPPON, CA 95366
(209) 599-4176
(209) 599-4178
Mailing address
102 SOUTH WALNUT AVENUE, RIPPON, CA 95366
(209) 599-4176
(209) 599-4178
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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