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Organization

QUIRT FAMILY DENTISTRY, S.C.

Active
Parent organization
QUIRT FAMILY DENTISTRY, S.C.
Other names
Dental Care at Woodland Crest
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUIRT FAMILY DENTISTRY, S.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
1180 S CENTURY AVE STE C, WAUNAKEE, WI 53597-1827
(608) 997-4002
(608) 997-4004
Mailing address
1180 S CENTURY AVE STE C, WAUNAKEE, WI 53597-1827
(608) 997-4002
(608) 997-4004

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/30/2023
Last updated
08/30/2023
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