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Organization

QUIRT FAMILY DENTISTRY, S.C.

Active
Parent organization
QUIRT FAMILY DENTISTRY, S.C.
Other names
Germantown Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUIRT FAMILY DENTISTRY, S.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
N112W16286 MEQUON RD, GERMANTOWN, WI 53022-3306
(262) 293-5034
(262) 415-5277
Mailing address
N112W16286 MEQUON RD, GERMANTOWN, WI 53022-3306
(262) 293-5034

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/26/2020
Last updated
01/15/2021
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