Individual
DR. CRISTOBAL ALBERTO QUEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
761 HARRISON AVE APT 205, BOSTON, MA 02118-2362
(857) 413-0631
Mailing address
761 HARRISON AVE APT 205, BOSTON, MA 02118-2362
(857) 413-0631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL10997
MA
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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