Quirt Family Dentistry
NPI #1942767314 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1942767314
- Entity Type
- Organization
- Organization Name
- Quirt Family Dentistry
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- QUIRT FAMILY DENTISTRY
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Feb 21, 2019
Practice Location
- Address
- 10401 W LINCOLN AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1255
- Phone
- (414) 327-4100
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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