Individual
DR. DANIEL TRAVIS QUEVEDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
505 WEKIVA SPRINGS RD, STE 100, LONGWOOD, FL 32779-6050
(407) 786-2552
Mailing address
505 WEKIVA SPRINGS RD, STE 100, LONGWOOD, FL 32779-6050
(407) 786-2552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 14775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 14775
STATE LICENSE
FL
Enumeration date
06/01/2005
Last updated
07/08/2007
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