Provider Demographics
NPI:1578691630
Name:KALRA, VARUN (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:VARUN
Middle Name:
Last Name:KALRA
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N CANFIELD NILES ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515
Mailing Address - Country:US
Mailing Address - Phone:330-792-3888
Mailing Address - Fax:330-792-0794
Practice Address - Street 1:25 N CANFIELD NILES ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515
Practice Address - Country:US
Practice Address - Phone:330-792-3888
Practice Address - Fax:330-792-0794
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300191181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics