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NPI Code Detail

MEDICARE: DR. GEORGE QUINTERO DDS

MEDICARE: DR. GEORGE QUINTERO DDS
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
1122300000XDentistDN 21905FL

General Provider Information

NPI Number : 1548611189
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE QUINTERO DDS
Provider Business Mailing Address
First Line : 7326 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-6055
Country : US
Telephone Number : 407-658-4060
Fax Number :
Provider Business Practice Location Address
First Line : 7326 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-6055
Country : US
Telephone Number : 407-658-4060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2016
Last Update Date : 06/24/2016

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Directions to “ DR. GEORGE QUINTERO DDS” Practice Location

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