Organization
DENTAQUEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE LYNN FRITZ (MANAGER, PROVIDER NETWORKS)
(262) 834-3553
Entity
Organization
Contact information
Practice address
12121 CORPORATE PKWY, MEQUON, WI 53092-3332
(262) 834-3553
(242) 241-7366
Mailing address
12121 CORPORATE PKWY, MEQUON, WI 53092-3332
(262) 834-3553
(242) 241-7366
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
03/03/2010
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