Individual
NICOLE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
HC 5 BOX 56898, SAN SEBASTIAN, PR 00685-5844
(787) 219-2786
Mailing address
HC 5 BOX 56898, SAN SEBASTIAN, PR 00685-5844
(787) 219-2786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056929-1
NY
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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