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DR. FERNANDO ALVARADO D.D.S.
Oral and Maxillofacial Surgery >> Dentist >> Dental ProvidersRegistrant NPI Number: 1073632659
Individual Registrant:DR. FERNANDO ALVARADO D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3205 WILDWOOD PLANTATION DR VALDOSTA, GA 31605-1042 US
Tel: 229-247-7585 Fax: 229-247-8901
Tel: 229-247-7585 Fax: 229-247-8901
Contact information for business:
3205 WILDWOOD PLANTATION DR VALDOSTA, GA 31605-1042 US
Tel: 229-247-7585 Fax: 229-247-8901
Tel: 229-247-7585 Fax: 229-247-8901
Registration Information:
NPI: 1073632659
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223S0112X | Dental Providers Dentist Oral and Maxillofacial Surgery | GA | DN012666 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 509010518A | GA | 05 |
