Organization
QUIRT FAMILY DENTISTRY, S.C.
Active
Parent organization
QUIRT FAMILY DENTISTRY, S.C.
Other names
West University Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, S.C.
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
6333 UNIVERSITY AVE, MIDDLETON, WI 53562-3400
(608) 238-6244
Mailing address
6333 UNIVERSITY AVE, MIDDLETON, WI 53562-3400
(608) 238-6244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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