# QUINN DENTISTS OF ST. ROSE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of St. Rose My Kids Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770138521
- **Authorized official:** SOPHIA QUINN DMD (OWNER)
- **Authorized official phone:** (702) 529-0321

## Contact information

- **Practice address:** 3519 ST ROSE PARKWAY, STE 110, HENDERSON, NV 89052
- **Practice address phone:** (702) 529-0321
- **Practice address fax:** (702) 577-3412
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 04/13/2022