Individual
DR. BERNARD RAYMOND TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5349 N 22ND ST, SUITE 1, OZARK, MO 65721-6645
(417) 581-0000
(417) 725-1564
Mailing address
5349 N 22ND ST, SUITE 1, OZARK, MO 65721-6645
(417) 581-0000
(417) 725-1564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11373
MO
1223G0001X
General Practice Dentistry
Primary
11373
MO
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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