Quirt Family Dentistry, Sc

NPI #1407260326 in Beloit, Wisconsin

Provider Information

NPI Number: 1407260326
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: Jun 18, 2014
Last Updated: Jun 18, 2014

Practice Location

Address: 2777 MILWAUKEE RD
City: Beloit
State: Wisconsin
ZIP Code: 53511
Phone: (608) 312-2945

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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