DR. Max Marco Tejeda-Nichols, C.D.

NPI #1932380433 in Rochelle, Illinois

Provider Information

NPI Number: 1932380433
Entity Type: Individual
Name: DR. Max Marco Tejeda-Nichols, C.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: C.D.
Enumeration Date: Nov 26, 2007
Last Updated: Nov 26, 2007

Practice Location

Address: 409 LINCOLN HWY
City: Rochelle
State: Illinois
ZIP Code: 61068-1642
Phone: (815) 562-9742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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