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NPI Code Detail

MEDICARE: DR. THAINA QUILES DMD

MEDICARE: DR. THAINA QUILES DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598333742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THAINA QUILES DMD
Provider Business Mailing Address
First Line : 500 BLUEBILL DR APT 204
Second Line :
City : PEMBROKE
State : NC
Zip : 28372-4804
Country : US
Telephone Number : 919-699-9532
Fax Number :
Provider Business Practice Location Address
First Line : 600 COUNTRY CLUB RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-0428
Country : US
Telephone Number : 910-739-7673
Fax Number : 910-737-6457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 06/15/2021

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Directions to “ DR. THAINA QUILES DMD” Practice Location

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