Provider Demographics
NPI:1194101360
Name:PIERO QUINCI, DMD, MS, INC.
Entity type:Organization
Organization Name:PIERO QUINCI, DMD, MS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERO
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-376-1701
Mailing Address - Street 1:105 W TORRANCE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3609
Mailing Address - Country:US
Mailing Address - Phone:310-376-1701
Mailing Address - Fax:
Practice Address - Street 1:105 W TORRANCE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3609
Practice Address - Country:US
Practice Address - Phone:310-376-1701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45960261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental