Valderrama, Alan

Valderrama, Alan is an sole proprietor health care provider with primary practice located at 3538 State Route 27 , Kendall Park NJ 08824-1050. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Valderrama, Alan can be contacted via phone (732) 821-8585.

Contact Information

Primary practice address
3538 State Route 27 Kendall Park NJ 08824-1050
Fax: (732) 821-1055
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02502200 New Jersey
Dental Providers / General Practice 1223G0001X 22DI02502200 New Jersey

Profile Details

NPI number 1104175595
LBN Legal business name Valderrama, Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2012
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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