Individual
DERRICK GLEN TENGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(605) 714-5114
Mailing address
1 NASSAU ST APT 909, BOSTON, MA 02111-1554
(609) 658-3233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858105
MA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us