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Individual
AIDEE TEJEDA MANZANO
Active
Individual
AIDEE TEJEDA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11166
SC
1223G0001X
General Practice Dentistry
Primary
14352
NC
Other
Enumeration date
07/15/2025
Last updated
08/04/2025
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