Quirt Family Dentistry, Sc
NPI #1417384249 in Oak Creek, Wisconsin
Provider Information
- NPI Number
- 1417384249
- 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
- Oct 12, 2013
- Last Updated
- Oct 12, 2013
Practice Location
Authorized Official
- Name
- KIM WILSON
- Title
- CRED. SUPERVISOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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