Individual
OVY QUINTANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MDS
Contact information
Practice address
2300 NE 9TH ST, FORT LAUDERDALE, FL 33304-3587
(954) 737-2300
Mailing address
421 SW 58TH AVE, PLANTATION, FL 33317-3553
(305) 951-0850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10693
TN
122300000X
Dentist
DN23828
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10693
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23828
FL
Other
Enumeration date
04/16/2018
Last updated
11/17/2023
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