Varela Kellesarian, Sergio Manuel
Varela Kellesarian, Sergio Manuel is an individual health care provider with primary practice located at 12634 Pines Blvd , Pembroke Pines FL 33027-1712. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Varela Kellesarian, Sergio Manuel can be contacted via phone (954) 430-2300.Contact Information
Primary practice address
12634 Pines Blvd
Pembroke Pines FL 33027-1712
Phone: (954) 430-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | DN24657 | Florida |
Profile Details
| NPI number | 1972032324 |
|---|---|
| LBN Legal business name | Varela Kellesarian, Sergio Manuel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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