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Organization

QUIRT FAMILY DENTISTRY SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT G QUIRT DDS MS (OWNER)
(715) 355-5570
Entity
Organization

Contact information

Practice address
3417 SCHOFIELD AVENUE, SCHOFIELD, WI 54476
(715) 355-5570
(715) 241-8171
Mailing address
3417 SCHOFIELD AVENUE, SCHOFIELD, WI 54476
(715) 355-5570
(715) 241-8171

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001188
WI
122300000X
Dentist
5502015
WI
122300000X
Dentist
5987015
WI

Other

Enumeration date
02/07/2007
Last updated
08/22/2020
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