Organization
QUIRT FAMILY DENTISTRY, S.C.
Active
Parent organization
QUIRT FAMILY DENTISTRY, S.C.
Other names
West End Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, S.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
801 W VERONA AVE, VERONA, WI 53593-1479
(608) 398-8128
(608) 398-8127
Mailing address
801 W VERONA AVE, VERONA, WI 53593-1479
(608) 398-8128
(608) 398-8127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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