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General NPI Number Information
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NPI Number | 1386805695
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Entity Type | Individual
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Provider Name | KATHLEEN ANN VARLEY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 775 SHADOWRIDGE DR
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City | VISTA
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State | CA
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Zip | 92083-7997
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Country | US
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Telephone | 760-734-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 2438 MOUNTAIN VIEW DR
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City | ESCONDIDO
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State | CA
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Zip | 92027-4929
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Country | US
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Telephone | 614-984-1589
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 154369
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.022809
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 107361
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License Number State | CA
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