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Organization
QUINTANA DENTAL PRACTICE
Active
Organization
QUINTANA DENTAL PRACTICE
Active
Parent organization
QUINTANA DENTAL PRACTICE
Other names
Creating Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUINTANA DENTAL PRACTICE
Authorized official
OSCAR C QUINTANA DDS (DENTIST/OWNER)
(505) 292-8300
Entity
Organization
Contact information
Practice address
8501 CANDELARIA RD NE, C-1, ALBUQUERQUE, NM 87112-1034
(505) 292-8300
(505) 332-4335
Mailing address
8501 CANDELARIA RD NE, C-1, ALBUQUERQUE, NM 87112-1034
(505) 292-8300
(505) 332-4335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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