| NPI | 1679623623 |
|---|---|
| Professional Name | DAVID R TELLES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 55094) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053873) |
| 1223G0001X Dentist, General Practice (Licence: CA 55094) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-07-22 |