DERRICK GLEN TENGCO

LAWRENCE, MA
NPI1134601669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MA  DN1858105)
Enumeration Date2018-08-31
Last Update Date2018-08-31
Business Address
DERRICK GLEN TENGCO DMD
314 ESSEX ST
LAWRENCE, MA 01840-1411
Phone number: 605-714-5114
Mailing Address
DERRICK GLEN TENGCO DMD
1 NASSAU ST APT 909
BOSTON, MA 02111-1554
Phone number: 609-658-3233