Individual
DR. MARGARET EMMA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301
(508) 559-6699
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DL12578
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028120
—
MA
Enumeration date
07/17/2015
Last updated
05/15/2019
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