Individual
MRS. HEATHER MAE TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
72 NEALY AVE, LANGLEY AFB, VA 23665-5300
(907) 580-5010
Mailing address
76 NEALY BLVD, HAMPTON, VA 23665-2022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
VA
Other
Enumeration date
06/25/2007
Last updated
02/06/2015
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