Susana Tejada, D.M.D.

NPI #1003118225 in Roxbury, Massachusetts

Provider Information

NPI Number: 1003118225
Entity Type: Individual
Name: Susana Tejada, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Nov 19, 2010
Last Updated: Apr 13, 2020

Practice Location

Address: 45 DIMOCK ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-1208
Phone: (617) 442-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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