Organization
MARIA T QUINTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO A RAMOS (BILLER)
(619) 216-6217
Entity
Organization
Contact information
Practice address
1239 SILVER HAWK WAY, CHULA VISTA, CA 91915-1669
(619) 216-6217
Mailing address
CALLE 11 # 8911, TIJUANA, MEXICO 22000
(619) 216-6217
(619) 934-3624
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2627570
ZZ
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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