Individual
RICHARD EDGAR QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3151 S WHITE RD STE 103, SAN JOSE, CA 95148-4045
(408) 274-8558
(408) 274-8611
Mailing address
3151 S WHITE RD STE 103, SAN JOSE, CA 95148-4045
(408) 274-8558
(408) 274-8611
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24052
CA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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