| Max Teja Dda Pa | |
|
4331 College Hills Blvd San Angelo TX 76904-6919 | |
| (325) 223-2373 | |
| Not Available |
| Full Name | Max Teja Dda Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4331 College Hills Blvd, San Angelo, Texas |
| Authorized Official Name and Position | Mehboob Teja (OWNER) |
| Authorized Official Contact | 3252232373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Max Teja Dda Pa 4331 College Hills Blvd San Angelo TX 76904-6919 Ph: (325) 223-2373 | Max Teja Dda Pa 4331 College Hills Blvd San Angelo TX 76904-6919 Ph: (325) 223-2373 |
| NPI Number | 1699016691 |
|---|---|
| Provider Enumeration Date | 03/15/2013 |
| Last Update Date | 11/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699016691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16797 (Texas) | Primary |
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