| Dr Quintana Dental Corporation Inc | |
|
361 W Main St Ste B Woodland CA 95695-6829 | |
| (530) 230-9555 | |
| Not Available |
| Full Name | Dr Quintana Dental Corporation Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 361 W Main St Ste B, Woodland, California |
| Authorized Official Name and Position | Yvan Carlos Quintana Castrillon (OWNER DENTIST) |
| Authorized Official Contact | 9167996073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Quintana Dental Corporation Inc 361 W Main St Ste B Woodland CA 95695-6829 Ph: (530) 230-9555 | Dr Quintana Dental Corporation Inc 361 W Main St Ste B Woodland CA 95695-6829 Ph: (530) 230-9555 |
| NPI Number | 1114679156 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114679156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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