Quirt Family Dentistry, Sc

NPI #1508131004 in Plover, Wisconsin

Provider Information

NPI Number
1508131004
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 16, 2012
Last Updated
Mar 16, 2012

Practice Location

Address
1819 PARK AVE
City
Plover
ZIP Code
54467-4304
Phone
(715) 544-6100

Authorized Official

Name
KIM WILSON
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-5170

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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