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General NPI Number Information
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NPI Number | 1578383956
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Entity Type | Organization
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Legal Business Name | PAUL QUINTO DDS INC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 4282 E ONTARIO RANCH RD STE 2
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City | ONTARIO
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State | CA
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Zip | 91761
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Country | US
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Telephone | 951-268-0195
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Fax |
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Provider Business Mailing Address
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Address Line | 3643 S HYCHE AVE
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City | ONTARIO
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State | CA
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Zip | 91761-5093
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Country | US
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Telephone | 951-268-0195
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PAUL QUINTO
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Credential | DDS
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Telephone | 951-268-0195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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