Provider Demographics
NPI:1891384004
Name:QUANTA SCIENTIFIC LLC
Entity Type:Organization
Organization Name:QUANTA SCIENTIFIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:FERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-455-2543
Mailing Address - Street 1:6166 N SCOTTSDALE RD UNIT C4003
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-5442
Mailing Address - Country:US
Mailing Address - Phone:602-315-8148
Mailing Address - Fax:
Practice Address - Street 1:6166 N SCOTTSDALE RD UNIT C4003
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-5442
Practice Address - Country:US
Practice Address - Phone:602-315-8148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty