Individual
DR. GEORGE MICHAEL QUINLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
379 PORTER RD, EAST LONGMEADOW, MA 01028-1435
(413) 525-4199
(413) 525-4199
Mailing address
379 PORTER RD, EAST LONGMEADOW, MA 01028-1435
(413) 525-4199
(413) 525-4199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12
DENTAL PROVIDER
MA
Enumeration date
11/23/2006
Last updated
07/08/2007
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