Nevada Dental Professional, Quirt, Kruyer, P.c.

NPI #1760096614 in Henderson, Nevada

Provider Information

NPI Number: 1760096614
Entity Type: Organization
Organization Name: Nevada Dental Professional, Quirt, Kruyer, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 8, 2020
Last Updated: Sep 26, 2022

Practice Location

Address: 55 S VALLE VERDE DR STE 250
City: Henderson
State: Nevada
ZIP Code: 89012-3479
Phone: (702) 979-7541

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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