Individual
DR. FERNANDO TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
280 GHANER DR, STATE COLLEGE, PA 16803-1199
(814) 321-2068
Mailing address
280 GHANER DR, STATE COLLEGE, PA 16803-1199
(814) 321-2068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036869
PA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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