Individual
ANTHONY QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
703 N DUSTIN AVE, FARMINGTON, NM 87401-6101
(505) 564-9700
Mailing address
703 N DUSTIN AVE, FARMINGTON, NM 87401-6101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4641
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/18/2016
Last updated
03/02/2021
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