Quirt Family Dentistry, Sc
NPI #1306112685 in Schofield, Wisconsin
Provider Information
- NPI Number
- 1306112685
- 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
- Mar 30, 2012
- Last Updated
- Mar 30, 2012
Practice Location
Authorized Official
- Name
- KIM WILSON
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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