Individual
DR. COREY J TEGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
28 WEST COLE RD, BIDDEFORD, ME 04005
(207) 282-5682
Mailing address
28 WEST COLE RD, BIDDEFORD, ME 04005
(207) 282-5682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20170 1
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
03555
NH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3652
ME
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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