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DR. FERNANDO ALVARADO D.D.S.

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1073632659

Individual Registrant:
DR. FERNANDO  ALVARADO D.D.S.
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

Contact information for business:
3205 WILDWOOD PLANTATION DR  VALDOSTA, GA 31605-1042 US
Tel: 229-247-7585  Fax: 229-247-8901

Registration Information:
NPI: 1073632659
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
GADN012666

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
509010518AGA05




HEALTH CARE JOBS GA - Page 1



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