Individual
ALEXANDER CRUZ WALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(978) 974-1000
Mailing address
17383 LAKE BEACH DR, SPRING LAKE, MI 49456-1844
(630) 747-7903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12351
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2021
Last updated
10/19/2022
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