Organization
QUIRT FAMILY DENTISTRY, SC
Active
Parent organization
QUIRT FAMILY DENTISTRY, SC
Other names
Prairie Ridge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY, SC
Authorized official
LINDSAY BEARDEN (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
10288 77TH ST, SUITE 300, PLEASANT PRAIRIE, WI 53158-1142
(262) 612-3325
Mailing address
10288 77TH ST, SUITE 300, PLEASANT PRAIRIE, WI 53158-1142
(262) 612-3325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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