Organization
CARLOS G. TELLO DDS MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS G TELLO DDS MS (PRESIDENT)
(817) 281-9141
Entity
Organization
Contact information
Practice address
5340 DAVIS BLVD, FORT WORTH, TX 76180
(817) 281-9141
Mailing address
5340 DAVIS BLVD, FORT WORTH, TX 76180
(817) 281-9141
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19305
TX
Other
Enumeration date
01/22/2007
Last updated
02/07/2012
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