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Organization
QUINTERO FAMILY DENTAL, LLC
Active
Organization
QUINTERO FAMILY DENTAL, LLC
Active
Other names
Grey Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE QUINTERO DMD (OWNER/DENTIST)
(407) 718-8553
Entity
Organization
Contact information
Practice address
547 EAST BRANNON RD, NICHOLASVILLE, KY 40356
(407) 718-8553
Mailing address
3193 BRIGHTON PLACE DR, LEXINGTON, KY 40509-2371
(407) 718-8553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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