Individual
FERNANDO ALBERTO FALCON ANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4785 LEAVITT RD, LORAIN, OH 44053-2136
(440) 282-6677
Mailing address
4785 LEAVITT RD, LORAIN, OH 44053-2136
(440) 282-6677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028144
OH
1223G0001X
General Practice Dentistry
30.028144
OH
Other
Enumeration date
04/27/2023
Last updated
08/19/2025
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