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Organization
PAUL QUINLAN DDS PL
Active
Organization
PAUL QUINLAN DDS PL
Active
Other names
Santa Rosa Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL QUINLAN DDS (DENTIST)
(850) 932-0831
Entity
Organization
Contact information
Practice address
4311 GULF BREEZE PKWY, GULF BREEZE, FL 32563-9152
(850) 910-3840
Mailing address
4311 GULF BREEZE PKWY, GULF BREEZE, FL 32563-9152
(850) 910-3840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
122400000X
Denturist
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006844
UNITED CONCORDIA
FL
01
—
67804
FEDERAL BLUE CROSS BLUE SHIELD
FL
01
—
86885
FLORIDA COMBINED LIFE
FL
Enumeration date
02/17/2014
Last updated
02/17/2014
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