Provider Demographics
NPI:1144850397
Name:JAUNA SOUZA-QUATRANO DMD, PLLC
Entity type:Organization
Organization Name:JAUNA SOUZA-QUATRANO DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAUNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOUZA-QUATRANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-951-7772
Mailing Address - Street 1:1403 TUCKER RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3152
Mailing Address - Country:US
Mailing Address - Phone:508-990-1499
Mailing Address - Fax:
Practice Address - Street 1:1403 TUCKER RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3152
Practice Address - Country:US
Practice Address - Phone:508-990-1499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty