Organization
QUIRT FAMILY DENTISTRY, S.C.
Active
Parent organization
QUIRT FAMILY DENTISTRY, S.C.
Other names
Dental Care of Menomonee Falls
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
W178N9379 WATER TOWER PL, MENOMONEE FALLS, WI 53051-8034
(262) 565-6975
Mailing address
W178N9379 WATER TOWER PL, MENOMONEE FALLS, WI 53051-8034
(262) 565-6975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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