Organization
WISDOM TEETH AND BEYOND ORAL SURGERY
Active
Organization
WISDOM TEETH AND BEYOND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO VALLADARES DDS (OWNER)
(978) 855-6659
Entity
Organization
Contact information
Practice address
4 N DEER POINT RD STE 1008, HAINESVILLE, IL 60030-3814
(847) 388-6098
(847) 388-6099
Mailing address
4 N DEER POINT RD STE 1008, HAINESVILLE, IL 60030-3814
(847) 388-6098
(847) 388-6099
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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