Individual
DR. MAX MARCO TEJEDA-NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.D.
Contact information
Practice address
409 LINCOLN HWY, ROCHELLE, IL 61068-1642
(815) 562-9742
Mailing address
409 LINCOLN HWY, ROCHELLE, IL 61068-1642
(815) 562-9742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-019969
IL
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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