Provider Demographics
NPI:1902640493
Name:QUINTERO, YUDI MILENA (DMD)
Entity type:Individual
Prefix:DR
First Name:YUDI
Middle Name:MILENA
Last Name:QUINTERO
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 1:725 TREMONT ST APT 402
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3423
Mailing Address - Country:US
Mailing Address - Phone:857-413-1865
Mailing Address - Fax:
Practice Address - Street 1:328 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-2715
Practice Address - Country:US
Practice Address - Phone:617-536-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADNI100008081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice