# DAVID R. TELLES, D.D.S., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447688551
- **Authorized official:** DR. DAVID RODNEY TELLES D.D.S. (PRESIDENT / OMFS)
- **Authorized official phone:** (714) 766-6560

## Contact information

- **Practice address:** 7677 CENTER AVE STE 206, HUNTINGTON BEACH, CA 92647-9102
- **Practice address phone:** (714) 766-6560
- **Practice address fax:** (714) 766-6563
- **Mailing address:** 7677 CENTER AVE STE 206, HUNTINGTON BEACH, CA 92647-9102
- **Mailing address phone:** (714) 766-6560
- **Mailing address fax:** (714) 766-6563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 55094 | CA | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 06/17/2021