Provider Demographics
NPI:1013748730
Name:MILK AND HONEY DENTAL PLLC
Entity type:Organization
Organization Name:MILK AND HONEY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUINTARIAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-353-7667
Mailing Address - Street 1:4008 BROOKDALE DR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2626
Mailing Address - Country:US
Mailing Address - Phone:404-353-7667
Mailing Address - Fax:
Practice Address - Street 1:50 COUNTY ROAD B E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-1927
Practice Address - Country:US
Practice Address - Phone:651-488-2541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental