| David R. Telles, D.d.s., A Professional Corporation | |
|
7677 Center Ave Ste 206 Huntington Beach CA 92647-9102 | |
| (714) 766-6560 | |
| (714) 766-6563 |
| Full Name | David R. Telles, D.d.s., A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7677 Center Ave Ste 206, Huntington Beach, California |
| Authorized Official Name and Position | David Rodney Telles (PRESIDENT / OMFS) |
| Authorized Official Contact | 7147666560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Telles, D.d.s., A Professional Corporation 7677 Center Ave Ste 206 Huntington Beach CA 92647-9102 Ph: (714) 766-6560 | David R. Telles, D.d.s., A Professional Corporation 7677 Center Ave Ste 206 Huntington Beach CA 92647-9102 Ph: (714) 766-6560 |
| NPI Number | 1447688551 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447688551 | NPI | - | NPPES |
| II | Other | CA | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 55094 (California) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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