| Colleen Quesada Dmd Pllc | |
|
301 W Main St Farwell MI 48622-8753 | |
| (989) 588-4121 | |
| (989) 588-3191 |
| Full Name | Colleen Quesada Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 301 W Main St, Farwell, Michigan |
| Authorized Official Name and Position | Colleen S Quesada (OWNER) |
| Authorized Official Contact | 9895884121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Quesada Dmd Pllc 301 W Main St Po Box 309 Farwell MI 48622-8753 Ph: (989) 588-4121 | Colleen Quesada Dmd Pllc 301 W Main St Farwell MI 48622-8753 Ph: (989) 588-4121 |
| NPI Number | 1982861829 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982861829 | NPI | - | NPPES |
| D801268 | Other | MI | BCBS OF MI PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18173 (Michigan) | Primary |
Farwell Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St, Farwell, MI 48622 Phone: 989-588-4121 |