# NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Other names:** Dental Care at Crystal Park
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093004921
- **Legal business name:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Authorized official:** KAM SHICK (INSURANCE COORDINATOR)
- **Authorized official phone:** (217) 540-5141

## Contact information

- **Practice address:** 2231 CRYSTAL DR LBBY 150, ARLINGTON, VA 22202-3781
- **Practice address phone:** (703) 892-0883
- **Practice address fax:** (703) 892-0885
- **Mailing address:** 2231 CRYSTAL DR LBBY 150, ARLINGTON, VA 22202-3781
- **Mailing address phone:** (703) 892-0883
- **Mailing address fax:** (703) 892-0885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2011
- **Last updated:** 09/26/2022