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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