SUSANA LOURDES TEJADA — Medicare Enrolled Provider (PRACTITIONER - DENTIST, MA)
SUSANA LOURDES TEJADA — Medicare Enrolled Provider (PRACTITIONER - DENTIST, MA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: SUSANA LOURDES TEJADA; Type: Individual; NPI: 1003118225.
| Name | SUSANA LOURDES TEJADA |
|---|---|
| Type | Individual |
| NPI | 1003118225 |
| Provider type | PRACTITIONER - DENTIST |
| State | MA |
| Enrollment ID | I20110601000742 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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