Individual
TERESA LEIGH TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3608 FARAON ST, SAINT JOSEPH, MO 64506-3044
(816) 364-6444
Mailing address
3809 WALNUT ST APT 3N, KANSAS CITY, MO 64111-4903
(330) 523-8112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024021394
MO
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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