Provider Demographics
NPI:1861566952
Name:CRAIG VARJIAN DDS INC
Entity type:Organization
Organization Name:CRAIG VARJIAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:VARJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-443-1878
Mailing Address - Street 1:640 E ALVIN DR
Mailing Address - Street 2:#D
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3055
Mailing Address - Country:US
Mailing Address - Phone:831-443-1878
Mailing Address - Fax:831-443-1434
Practice Address - Street 1:640 E ALVIN DR
Practice Address - Street 2:#D
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3055
Practice Address - Country:US
Practice Address - Phone:831-443-1878
Practice Address - Fax:831-443-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA457861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty