Organization
DR CHARLES R QUINN II DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R QUINN II DDS (OWNER, PRINCIPLE OFFICER)
(423) 756-0957
Entity
Organization
Contact information
Practice address
651 E 4TH ST STE 301, CHATTANOOGA, TN 37403-1932
(423) 756-0957
(423) 756-0287
Mailing address
651 E 4TH ST STE 301, CHATTANOOGA, TN 37403-1932
(423) 756-0957
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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