Organization
QUIRT FAMILY DENTISTRY, SC
Active
Parent organization
QUIRT FAMILY DENTISTRY, SC
Other names
Oak Creek Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, SC
Authorized official
KIM WILSON (CRED. SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
8907 S HOWELL AVE, OAK CREEK, WI 53154-4460
(414) 455-7768
Mailing address
8907 S HOWELL AVE, OAK CREEK, WI 53154-4460
(414) 455-7768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2013
Last updated
10/12/2013
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