Organization
QUIRT FAMILY DENTISTRY, SC
Active
Parent organization
QUIRT FAMILY DENTISTRY, SC
Other names
Dental Care of Bellevue
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, SC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
2014 LIME KILN RD, SUITE 300, BELLEVUE, WI 54311
(920) 857-2092
Mailing address
2014 LIME KILN RD, SUITE 300, BELLEVUE, WI 54311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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