Provider Demographics
NPI:1750399960
Name:QUIMSON, NOREEN (DDS)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:
Last Name:QUIMSON
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 1:5873 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SF
Mailing Address - State:CA
Mailing Address - Zip Code:94112-4017
Mailing Address - Country:US
Mailing Address - Phone:415-452-0884
Mailing Address - Fax:415-452-9795
Practice Address - Street 1:5873 MISSION ST
Practice Address - Street 2:
Practice Address - City:SF
Practice Address - State:CA
Practice Address - Zip Code:94112-4017
Practice Address - Country:US
Practice Address - Phone:415-452-0884
Practice Address - Fax:415-452-9795
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42085122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist