Provider Demographics
NPI:1861625055
Name:BOYER, VARO (DDS)
Entity type:Individual
Prefix:DR
First Name:VARO
Middle Name:
Last Name:BOYER
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 1:15603 PARTHENIA ST APT 105
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4992
Mailing Address - Country:US
Mailing Address - Phone:818-422-5433
Mailing Address - Fax:
Practice Address - Street 1:15603 PARTHENIA ST APT 105
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-4992
Practice Address - Country:US
Practice Address - Phone:818-422-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA587351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice