Individual
MICHAEL JON ALFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
48TH MDG, UNIT 5115, APO, AE 09461, RAF LAKENHEATH, NJ 09461
(783) 154-9159
Mailing address
48TH MDG, UNIT 5115, APO, AE 09461-5115
(210) 842-0036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63198149921
UT
Other
Enumeration date
11/09/2006
Last updated
02/18/2025
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