Organization
FAMILY DENTAL OF SOUTH SHEBOYGAN
Active
Parent organization
QUIRT FAMILY DENTISTRY, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, SC
Authorized official
LINDSAY BEARDEN (CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
3555 WASHINGTON AVE, SHEBOYGAN, WI 53081
(920) 395-4819
Mailing address
3555 WASHINGTON AVE, SHEBOYGAN, WI 53081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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