Individual
DR. DAVID RODNEY TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7677 CENTER AVE STE 206, HUNTINGTON BEACH, CA 92647-9102
(714) 766-6560
(714) 766-6563
Mailing address
7677 CENTER AVE STE 206, HUNTINGTON BEACH, CA 92647-9102
(714) 766-6560
(714) 766-6563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053873
NY
1223G0001X
General Practice Dentistry
55094
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
55094
CA
Other
Enumeration date
01/11/2007
Last updated
07/22/2020
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