Organization
QUINTERO FAMILY DENTAL, LLC
Active
Other names
Grey Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE QUINTERO DMD (OWNER/DENTIST)
(407) 718-8553
Entity
Organization
Contact information
Practice address
547 EAST BRANNON RD, NICHOLASVILLE, KY 40356
(407) 718-8553
Mailing address
3193 BRIGHTON PLACE DR, LEXINGTON, KY 40509-2371
(407) 718-8553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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