Individual provider · Type 1 NPI
Yandresco Quintana, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · New York, NY
NPI number
1114187762
Active
Practice location
651 W 180th St Ste 1
New York, NY 10033-4802
Fax (212) 812-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 276236 (NY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 057383 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1114187762
Yandresco Quintana, DDS, MD's National Provider Identifier is 1114187762, issued on Jun 16, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Sep 21, 2020.