Organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Active
Parent organization
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Other names
Desert Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
55 S VALLE VERDE DR STE 250, HENDERSON, NV 89012-3479
(702) 979-7541
Mailing address
55 S VALLE VERDE DR STE 250, HENDERSON, NV 89012-3479
(702) 979-7541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/26/2022
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