Quirt Family Dentistry, Sc

NPI #1225447436 in Bellevue, Wisconsin

Provider Information

NPI Number
1225447436
Entity Type
Organization
Organization Name
Quirt Family Dentistry, Sc
Subpart
Yes (part of a larger organization)
Parent Organization
QUIRT FAMILY DENTISTRY, SC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 13, 2014
Last Updated
Aug 13, 2014

Practice Location

Address
2014 LIME KILN RD
Address 2
SUITE 300
ZIP Code
54311
Phone
(920) 857-2092

Authorized Official

Name
KENDRA WALKER
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8312

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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