Individual
DR. EUGENE MICHAEL TEDALDI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
MAIN STREET 26-28 VILLAGE GREEN, SUITE 5, BEDFORD, NY 10506
(914) 234-7462
(914) 763-5544
Mailing address
PO BOX 378, SUITE 5, BEDFORD, NY 10506
(914) 234-7462
(914) 763-5544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
020483
NY
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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