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Organization
MQ DMD PA
Active
Organization
MQ DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA QUINTANA (DMD)
(305) 485-5547
Entity
Organization
Contact information
Practice address
4230 SW 152ND AVE, MIAMI, FL 33185-5252
(305) 485-5547
Mailing address
4230 SW 152ND AVE, MIAMI, FL 33185-5252
(305) 485-5547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20402
FL
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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