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Organization

GQ DENTAL CLINIC P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUILLERMO QUINONES SIERRA DMD (PRESIDENT)
(787) 647-0070
Entity
Organization

Contact information

Practice address
MARINA PLAZA SUITE 16, BARRIO RINCON, GURABO, PR 00778-0961
(787) 737-3505
Mailing address
PO BOX 961, GURABO, PR 00778-0961
(787) 647-0070

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2409
LICENSE NUMBER
PR
Enumeration date
03/06/2019
Last updated
03/06/2019
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