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Individual

TATIANA LEMES CARO QUINTILIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2631 E ATLANTIC BLVD, POMPANO BEACH, FL 33062-4939
(954) 942-4048
Mailing address
9560 NW 13TH ST, PLANTATION, FL 33322-4810
(954) 472-8005

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN20001
FL

Other

Enumeration date
02/13/2013
Last updated
02/13/2013
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