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1669766978
QUINTA IDIARE
LADY LAKE, FL
NPI
1669766978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 19341)
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
-- QUINTA IDIARE DMD
560 N US HIGHWAY 27 # 441
LADY LAKE, FL 32159-3776
Phone number: 352-259-1065
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Mailing Address
-- QUINTA IDIARE DMD
281 SANDERS CREEK PKWY
EAST SYRACUSE, NY 13057-1307
Phone number: 315-454-6000
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