David R. Tebbenkamp DDS PC

NPI #1114127537 in Damascus, Virginia

Provider Information

NPI Number: 1114127537
Entity Type: Organization
Organization Name: David R. Tebbenkamp DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 24, 2007
Last Updated: Jul 24, 2007

Practice Location

Address: 21788 AZEN RD
City: Damascus
State: Virginia
ZIP Code: 24236-4236
Phone: (276) 388-3511

Authorized Official

Name: MR. DAVID RAY TEBBENKAMP, DDS
Title: DENTIST/PRESIDENT
Phone: (276) 388-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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