Provider Demographics
NPI:1528479995
Name:QUINN, DANNIELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:DANNIELLE
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8221 ROCHESTER AVE #110
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7477
Mailing Address - Country:US
Mailing Address - Phone:909-989-4704
Mailing Address - Fax:
Practice Address - Street 1:8221 ROCHESTER AVE STE 110
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0721
Practice Address - Country:US
Practice Address - Phone:909-989-4704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist