Individual
JOSE R VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
441 S MORGAN ST, ROXBORO, NC 27573-5123
(336) 599-6641
(336) 599-7182
Mailing address
4001 GLENNSTONE DR, DURHAM, NC 27704-6417
(650) 218-6070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11505
NC
1223G0001X
General Practice Dentistry
Primary
11505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11505
NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS
NC
Enumeration date
06/24/2019
Last updated
07/27/2023
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