Organization
QUIRT FAMILY DENTISTRY, SC
Active
Parent organization
QUIRT FAMILY DENTISTRY, SC
Other names
Family Dental Care of Fitchburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, SC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
5401 CADDIS BND, UNIT B, FITCHBURG, WI 53711-7122
(608) 807-1543
Mailing address
5401 CADDIS BND, UNIT B, FITCHBURG, WI 53711-7122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/29/2015
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