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Individual

DR. WALESKA D ALFARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2350 BELMONT CIR SE, SMYRNA, GA 30080-1568
(404) 843-3011
(678) 842-9913
Mailing address
2350 BELMONT CIR SE, SMYRNA, GA 30080-1568
(404) 843-3011

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012155
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100759
AVESIS PROVIDER NUMBER
GA
01
9180133
DORAL PROVIDER NUMBER
GA
Enumeration date
12/14/2006
Last updated
07/09/2007
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