Ajay Varghese, DMD Valid NPI

Individual provider · Periodontics · Tustin, CA

NPI

1144939091

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

DDS111275 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2022-11-18

Last updated

2025-07-18