Individual
DR. JOSEPH QUATTROCCHI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40 NORTHCREST DR, COUNCIL BLUFFS, IA 51503-1622
(712) 328-9605
(712) 328-9608
Mailing address
40 NORTHCREST DR, COUNCIL BLUFFS, IA 51503-1622
(712) 328-9605
(712) 328-9608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8243
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8243
STATE LICENSE NUMBER
IA
Enumeration date
10/24/2006
Last updated
07/08/2007
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