Dentaquest, LLC

NPI #1891958930 in Mequon, Wisconsin

Provider Information

NPI Number
1891958930
Entity Type
Organization
Organization Name
Dentaquest, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jul 9, 2008
Last Updated
Mar 3, 2010

Practice Location

Address
12121 CORPORATE PKWY
City
Mequon
ZIP Code
53092-3332
Phone
(262) 834-3553

Authorized Official

Name
MRS. CARRIE LYNN FRITZ
Title
MANAGER, PROVIDER NETWORKS
Phone
(262) 834-3553

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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