Individual
MRS. JANE B QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
122 JOLLY ST STE 103, LOUISBURG, NC 27549-2272
(919) 496-3088
Mailing address
1096 SILVERLEAF DR, YOUNGSVILLE, NC 27596-7700
(919) 496-3088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8022
STATE IDENTIFICATION NUMB
NC
Enumeration date
11/01/2006
Last updated
07/08/2007
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