Individual
DR. BRIDGET NICOLE QUEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
108 E FM 495 STE B, SAN JUAN, TX 78589-3725
(787) 739-8182
Mailing address
4822 SW 162ND PL, MIAMI, FL 33185-5153
(305) 490-6064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38342
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2021
Last updated
08/08/2022
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