| Charles L Quinlan Dds Inc | |
|
7055 N. Fresno Street #203 Fresno CA 93720 | |
| (559) 448-9983 | |
| (559) 448-9986 |
| Full Name | Charles L Quinlan Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7055 N. Fresno Street, Fresno, California |
| Authorized Official Name and Position | Charles L Quinlan (PRESIDENT) |
| Authorized Official Contact | 5594489983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Quinlan Dds Inc 7055 N. Fresno Street #203 Fresno CA 93720 Ph: (559) 448-9983 | Charles L Quinlan Dds Inc 7055 N. Fresno Street #203 Fresno CA 93720 Ph: (559) 448-9983 |
| NPI Number | 1194911974 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194911974 | NPI | - | NPPES |
| D1576301 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15763 (California) | Primary |
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