Organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Active
Parent organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Other names
Southwest Vegas Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING)
(217) 540-6078
Entity
Organization
Contact information
Practice address
8925 W RUSSELL RD STE 160, LAS VEGAS, NV 89148-1220
(702) 432-2223
Mailing address
8925 W RUSSELL RD STE 160, LAS VEGAS, NV 89148-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
08/21/2023
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