Individual
DR. ERNESTO QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8821 SW 107TH AVE, MIAMI, FL 33176-1411
(305) 279-0202
(305) 595-0060
Mailing address
8821 SW 107TH AVE, MIAMI, FL 33176-1411
(305) 279-0202
(305) 667-0368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19284
FL
Other
Enumeration date
04/05/2011
Last updated
03/02/2021
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