Doctor Name: | DR. KAAREN GISELLE VARGAS |
NPI Number: | 1063516060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS PHD |
License Number: | 08554 |
Business Practice Address: | 1730 Lininger Ln North Liberty, IA - 523172322 |
Business Phone Number: | 3196652573 |
Business Fax Number: | 8662051876 |
Mailing Address: | 1730 Lininger Ln, NORTH LIBERTY |
State: | IA |
Postal Code: | 523172316 |
Phone Number: | 3196652573 |
Fax Number: | 8662051876 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 08554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |