CARLOS G. TELLO DDS MS PA NPI 1679627590

NPI Information

CARLOS G. TELLO DDS MS PA is a prosthodontics dentist in Fort Worth, TX. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. CARLOS G. TELLO DDS MS PA NPI is 1679627590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5340 DAVIS BLVD
FORT WORTH, TX
ZIP 76180
Phone: (817) 281-9141

The provider's authorized official is Carlos G Tello .
The authorized official title is President and has the following contact phone number (817) 281-9141.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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