Organization
EVELYN R. TEJEDA, D.M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN R TEJEDA D.M.D (PHYSICIAN)
(914) 420-7941
Entity
Organization
Contact information
Practice address
629 W 185TH ST, 4TH FLOOR, NEW YORK, NY 10033-3102
(212) 568-0558
(212) 543-2503
Mailing address
70 LOCUST AVE, STE B307, NEW ROCHELLE, NY 10801-7361
(212) 568-0558
(212) 543-2503
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
046830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207541
—
NY
Enumeration date
02/01/2008
Last updated
02/01/2008
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