Provider Demographics
NPI:1205070372
Name:OQUINN, DIANA L (DDS)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:L
Last Name:OQUINN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 W PARK BLVD
Mailing Address - Street 2:#117
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2311
Mailing Address - Country:US
Mailing Address - Phone:972-519-1990
Mailing Address - Fax:972-964-0047
Practice Address - Street 1:4909 W PARK BLVD
Practice Address - Street 2:#117
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2311
Practice Address - Country:US
Practice Address - Phone:972-519-1990
Practice Address - Fax:972-964-0047
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17184122300000X
FLDN 10035122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist