Individual
BENJAMIN WADE ALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
113 PLANTATION AVE, CEDARTOWN, GA 30125-2371
(770) 748-7736
Mailing address
4130 MELROSE DR, MARTINEZ, GA 30907-1558
(706) 844-4957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN016034
GA
Other
Enumeration date
06/08/2020
Last updated
11/01/2023
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