Individual
KEITH S QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3008 PEACEFUL LN, EDMOND, OK 73034
(405) 219-6537
Mailing address
351 W 6TH STREET, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6931
OK
Other
Enumeration date
07/31/2017
Last updated
11/13/2019
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