Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1033887120 |
---|---|
Provider Name | Quinton S Barnes |
First Address | Fort George G Meade, MD 20755-7081 |
Second Address | Fort George G Meade, MD 20755-7081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2021 |
Last Update Date | 02/09/2021 |