Organization
MAX TEJA DDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHBOOB TEJA DDS (OWNER)
(325) 223-2373
Entity
Organization
Contact information
Practice address
4331 COLLEGE HILLS BLVD, SAN ANGELO, TX 76904-6919
(325) 223-2373
Mailing address
4331 COLLEGE HILLS BLVD, SAN ANGELO, TX 76904-6919
(325) 223-2373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16797
TX
Other
Enumeration date
03/15/2013
Last updated
11/15/2015
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