Individual
DR. GREGORY QUATTLEBAUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4953 CASTELLO DR, NAPLES, FL 34103-8927
(239) 263-2122
Mailing address
4953 CASTELLO DR, NAPLES, FL 34103-8927
(239) 263-2122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24422
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/14/2019
Last updated
08/11/2021
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