Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | D8255 | OR |
NPI | 1477613636 |
---|---|
Provider Name | Dr. Cynthia Rachel Varro |
First Address | Grants Pass, OR 97526 |
Second Address | Medford, OR 97501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 22/06/2017 |