Individual
DR. GEORGE ANTHONY QUIROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2817 REILLY ROAD, MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 643-2196
(910) 396-7017
Mailing address
2817 REILLY ROAD, MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 643-2196
(910) 396-7017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60068509
—
KY
Enumeration date
07/03/2006
Last updated
08/14/2012
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