| Evelyn R. Tejeda, D.m.d P.c | |
|
629 W 185th St 4th Floor New York NY 10033-3102 | |
| (212) 568-0558 | |
| (212) 543-2503 |
| Full Name | Evelyn R. Tejeda, D.m.d P.c |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 629 W 185th St, New York, New York |
| Authorized Official Name and Position | Evelyn R Tejeda (PHYSICIAN) |
| Authorized Official Contact | 9144207941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn R. Tejeda, D.m.d P.c 70 Locust Ave Ste B307 New Rochelle NY 10801-7361 Ph: (212) 568-0558 | Evelyn R. Tejeda, D.m.d P.c 629 W 185th St 4th Floor New York NY 10033-3102 Ph: (212) 568-0558 |
| NPI Number | 1225216229 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225216229 | NPI | - | NPPES |
| 02207541 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 046830 (New York) | Primary |
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