Individual
INES QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15530 W 64TH AVE UNIT H, ARVADA, CO 80007-6874
(303) 422-3746
Mailing address
2618 S HIGH ST, DENVER, CO 80210-5937
(281) 844-7236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32469
TX
1223P0221X
Pediatric Dentistry
Primary
DEN.00203453
CO
390200000X
Student in an Organized Health Care Education/Training Program
21898304
TX
Other
Enumeration date
05/16/2016
Last updated
02/19/2020
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