Individual
PATRICK RYAN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1717 S. CALHOUN ST., FORT WAYNE, IN 46862
(260) 458-2641
(260) 458-3093
Mailing address
PO BOX 11949, 1717 S. CALHOUN ST., FORT WAYNE, IN 46862
(260) 458-2641
(260) 458-3093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011475A
IN
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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