Organization
CHARLES L QUINLAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L QUINLAN DDS (PRESIDENT)
(559) 448-9983
Entity
Organization
Contact information
Practice address
7055 N. FRESNO STREET, #203, FRESNO, CA 93720
(559) 448-9983
(559) 448-9986
Mailing address
7055 N. FRESNO STREET, #203, FRESNO, CA 93720
(559) 448-9983
(559) 448-9986
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1576301
DENTI CAL
CA
Enumeration date
09/14/2007
Last updated
09/24/2009
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