Individual
DR. SANTIAGO TELLEZ PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
(919) 834-4932
Mailing address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12924
NC
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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