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Dr. Wally Alessandro Garcia Fulle, DDS
General Practice Dentistry in Bradenton, Florida
NPI 1154817880

Wally Alessandro Garcia Fulle is a General Practice Dentistry based in Palmetto, FL and is specialized in General Practice. Wally Alessandro Garcia Fulle practices in Bradenton, FL and has the professional credentials of DDS. The NPI Number for Wally Alessandro Garcia Fulle is 1154817880 and holds a License No. 12297 (Florida).

The current practice location address for Wally Alessandro Garcia Fulle is 1312 Manatee Ave E, Bradenton, FL and can be reached out via phone at 941-708-8710 and via fax at 941-708-8761.

Location: 1312 Manatee Ave E, Bradenton, FL, 34221-4737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154817880
Provider Name
Wally Alessandro Garcia Fulle
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1312 Manatee Ave E, Bradenton, FL, 34221-4737
Phone Number
941-708-8710
Fax Number
941-708-8761
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1312 Manatee Ave E
City
Bradenton
State
Florida
Zip
34208-1358
Phone Number
941-708-8710
Fax Number
941-708-8761
person
Provider Business Mailing Address Details
Address
1312 Manatee Ave E
City
Bradenton
State
Florida
Zip
34208-1358
Phone Number
941-708-8710
Fax Number
941-708-8761
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN25266 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12297 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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