Individual
QUENTIN SHABANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 LONGFELLOW PL, BOSTON, MA 02114-2438
(617) 416-6154
Mailing address
1 LONGFELLOW PL, BOSTON, MA 02114-2438
(617) 416-6154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857815
MA
Other
Enumeration date
05/02/2016
Last updated
02/08/2018
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