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COURTNI NICOLE TELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1130 14TH ST N, TEXAS CITY, TX 77590-5413
(409) 256-4896
Mailing address
616 WHITE IBIS AVE, TEXAS CITY, TX 77590-4242
(409) 256-4896

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35257
TX

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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