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Individual
IVAN QUINTANA HIJANO
Active
Individual
IVAN QUINTANA HIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2017002288
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00204448
CO
Other
Enumeration date
02/02/2017
Last updated
10/26/2021
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