Organization
COLLEEN QUESADA DMD PLLC
Active
Other names
Farwell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN S QUESADA D.M.D (OWNER)
(989) 588-4121
Entity
Organization
Contact information
Practice address
301 W MAIN ST, FARWELL, MI 48622-8753
(989) 588-4121
(989) 588-3191
Mailing address
301 W MAIN ST, PO BOX 309, FARWELL, MI 48622-8753
(989) 588-4121
(989) 588-3191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18173
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D801268
BCBS OF MI PIN
MI
Enumeration date
05/19/2008
Last updated
05/19/2008
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