Derrick Glen Tengco, DMD

NPI #1134601669 in Lawrence, Massachusetts

Provider Information

NPI Number: 1134601669
Entity Type: Individual
Name: Derrick Glen Tengco, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 31, 2018
Last Updated: Aug 31, 2018

Practice Location

Address: 314 ESSEX ST
City: Lawrence
State: Massachusetts
ZIP Code: 01840-1411
Phone: (605) 714-5114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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