Quinta Idiare, DMD

NPI #1669766978 in Lady Lake, Florida

Provider Information

NPI Number: 1669766978
Entity Type: Individual
Name: Quinta Idiare, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 3, 2011
Last Updated: Jun 3, 2011

Practice Location

Address: 560 N US HIGHWAY 27 # 441
City: Lady Lake
State: Florida
ZIP Code: 32159-3776
Phone: (352) 259-1065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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