Individual
JULISSA LISETT QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
202 BALLENTRAE CT, PITTSBORO, NC 27312-5538
(984) 400-9564
Mailing address
1121 BROOKHILL WAY, CARY, NC 27519-8672
(815) 901-1170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13876
NC
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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