Individual
HIMA VARNA BEZAWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 HERLONG AVE S STE 102, ROCK HILL, SC 29732-1156
(405) 410-5248
Mailing address
123 NE 2ND ST APT 205, OKLAHOMA CITY, OK 73104-2256
(405) 410-5248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10638
SC
Other
Enumeration date
09/01/2023
Last updated
09/20/2023
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