Quevedo, Daniel Travis

Quevedo, Daniel Travis is an individual health care provider with primary practice located at 505 Wekiva Springs Rd Ste 100, Longwood FL 32779-6050. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Quevedo, Daniel Travis can be contacted via phone (407) 786-2552.

Contact Information

Primary practice address
505 Wekiva Springs Rd Ste 100 Longwood FL 32779-6050
Phone: (407) 786-2552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 14775 Florida

Profile Details

NPI number 1821092172
LBN Legal business name Quevedo, Daniel Travis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821092172 NPPES
Florida Other DN 14775 STATE LICENSE

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