Organization
QUIRT FAMILY DENTISTRY, S.C.
Active
Parent organization
QUIRT FAMILY DENTISTRY, S.C.
Other names
Dental Care of Waukesha
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, S.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
701 E SUNSET DR, WAUKESHA, WI 53189-7715
(262) 290-5579
(262) 922-4436
Mailing address
701 E SUNSET DR, WAUKESHA, WI 53189-7715
(262) 565-6304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
08/08/2019
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