Provider Demographics
NPI:1720079635
Name:QUINTANA, OSCAR CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:CHRISTOPHER
Last Name:QUINTANA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8501 CANDELARIA RD NE
Mailing Address - Street 2:BUILDING C
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1034
Mailing Address - Country:US
Mailing Address - Phone:505-292-8300
Mailing Address - Fax:505-332-4335
Practice Address - Street 1:8501 CANDELARIA RD NE
Practice Address - Street 2:BUILDING C
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1034
Practice Address - Country:US
Practice Address - Phone:505-292-8300
Practice Address - Fax:505-332-4335
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM15131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice