| Llanell Vararaj Dental Inc | |
| 
					102 South Walnut Avenue Rippon CA 95366  | |
| (209) 599-4176 | |
| (209) 599-4178 | 
| Full Name | Llanell Vararaj Dental Inc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 102 South Walnut Avenue, Rippon, California | 
| Authorized Official Name and Position | Llanell Vararaj (DENTIST) | 
| Authorized Official Contact | 2095994176 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Llanell Vararaj Dental Inc 102 South Walnut Avenue Rippon CA 95366 Ph: (209) 599-4176  | Llanell Vararaj Dental Inc 102 South Walnut Avenue Rippon CA 95366 Ph: (209) 599-4176  | 
| NPI Number | 1760036305 | 
|---|---|
| Provider Enumeration Date | 08/01/2019 | 
| Last Update Date | 08/01/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760036305 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |