Provider Demographics
NPI:1861576746
Name:VARADI, DANIEL I (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:I
Last Name:VARADI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 112TH AVE NE
Mailing Address - Street 2:#A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5807
Mailing Address - Country:US
Mailing Address - Phone:425-467-6716
Mailing Address - Fax:
Practice Address - Street 1:115 PELLY AVE N
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-1714
Practice Address - Country:US
Practice Address - Phone:425-226-3192
Practice Address - Fax:442-522-6984
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000082751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice