Provider Demographics
NPI:1497843155
Name:KATARIYA, VARSHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:
Last Name:KATARIYA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-6276
Mailing Address - Country:US
Mailing Address - Phone:415-883-1568
Mailing Address - Fax:
Practice Address - Street 1:133 PLAZA DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-3703
Practice Address - Country:US
Practice Address - Phone:707-557-6245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist