Provider Demographics
NPI:1902123292
Name:DANIEL QUIROS DMD, P.C.
Entity Type:Organization
Organization Name:DANIEL QUIROS DMD, P.C.
Other - Org Name:CHOICE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:315-698-6880
Mailing Address - Street 1:6195 STATE ROUTE 31
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9269
Mailing Address - Country:US
Mailing Address - Phone:315-698-6880
Mailing Address - Fax:315-698-6886
Practice Address - Street 1:6195 STATE ROUTE 31
Practice Address - Street 2:SUITE 10
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9269
Practice Address - Country:US
Practice Address - Phone:315-698-6880
Practice Address - Fax:315-698-6886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty