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DR. STANLEY TODD ALDERMAN D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1053632224

Individual Registrant:
DR. STANLEY TODD ALDERMAN D.M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
114 W CRANFORD AVE  VALDOSTA, GA 31602-2931 US
Tel: 229-247-2031  Fax: 229-247-9680

Contact information for business:
114 W CRANFORD AVE  VALDOSTA, GA 31602-2931 US
Tel: 229-247-2031  Fax: 229-247-9680

Registration Information:
NPI: 1053632224
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
GADN014097

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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