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1245509793
JORGE QUINTANILLA K.
TIJUANA, BC
NPI
1245509793
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Entity Type
Organization
Authorized Contact
ALEJANDRO RAMOS
Billing
619-992-6290
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: ZZ 4929050)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
JORGE QUINTANILLA K.
2613 JM VELASCO ST SUITE 301
TIJUANA, BC 22000
Phone number: 664-634-3331
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Mailing Address
JORGE QUINTANILLA K.
PO BOX 210116
CHULA VISTA, CA 91921-0116
Phone number:
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