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NPI Code Detail

MEDICARE: WELLINGTON SALVADOR TEJEDA FELIZ DDS

MEDICARE: WELLINGTON SALVADOR TEJEDA FELIZ DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDL12901MA

General Provider Information

NPI Number : 1366891566
Entity Type Code : Individual
Provider Name (Legal Business Name) : WELLINGTON SALVADOR TEJEDA FELIZ DDS
Provider Business Mailing Address
First Line : 269 UNION ST
Second Line : DENTAL DEPT
City : LYNN
State : MA
Zip : 01901-1314
Country : US
Telephone Number : 781-581-9832
Fax Number : 781-581-9583
Provider Business Practice Location Address
First Line : 269 UNION ST
Second Line : DENTAL DEPT
City : LYNN
State : MA
Zip : 01901-1314
Country : US
Telephone Number : 781-581-9832
Fax Number : 781-581-9583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 06/08/2016

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Directions to “ WELLINGTON SALVADOR TEJEDA FELIZ DDS” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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