Individual
DR. FERNANDO ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3205 WILDWOOD PLANTATION DR, VALDOSTA, GA 31605-1042
(229) 247-7585
(229) 247-8901
Mailing address
3205 WILDWOOD PLANTATION DR, VALDOSTA, GA 31605-1042
(229) 247-7585
(229) 247-8901
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012666
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509010518A
—
GA
Enumeration date
03/28/2007
Last updated
01/17/2012
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