Provider Demographics
NPI:1386800134
Name:VARADY, AGGIE IRENE (DMD)
Entity type:Individual
Prefix:
First Name:AGGIE
Middle Name:IRENE
Last Name:VARADY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BRIAR RD
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2806
Mailing Address - Country:US
Mailing Address - Phone:415-299-1740
Mailing Address - Fax:
Practice Address - Street 1:20 BRIAR RD
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-2806
Practice Address - Country:US
Practice Address - Phone:415-299-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA541061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics