Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | D9845 | OR |
Y | 1223P0221X | Pediatric Dentist | DE8235 | WA |
NPI | 1063501096 |
---|---|
Provider Name | Dr. Donna Jean Quinby |
First Address | Seattle, WA 98105-5668 |
Second Address | Seattle, WA 98105-5667 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 27/01/2022 |