Organization
QUIRT FAMILY DENTISTRY, SC
Active
Parent organization
QUIRT FAMILY DENTISTRY, SC
Other names
Gateway Dental Care
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
2777 MILWAUKEE RD, BELOIT, WI 53511
(608) 312-2945
Mailing address
2777 MILWAUKEE RD, BELOIT, WI 53511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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