Provider Demographics
NPI:1376784611
Name:GJELAJ-VARFI, XHOANA (DMD, MAGD)
Entity Type:Individual
Prefix:DR
First Name:XHOANA
Middle Name:
Last Name:GJELAJ-VARFI
Suffix:
Gender:F
Credentials:DMD, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11105 TRINITY BLVD
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4538
Mailing Address - Country:US
Mailing Address - Phone:727-228-6846
Mailing Address - Fax:727-375-8089
Practice Address - Street 1:11105 TRINITY BLVD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4538
Practice Address - Country:US
Practice Address - Phone:727-228-6846
Practice Address - Fax:727-375-8089
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN183071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice