Organization
QUIRT FAMILY DENTISTRY
Active
Parent organization
QUIRT FAMILY DENTISTRY
Other names
RLJ Dental - Oshkosh
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT FAMILY DENTISTRY
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1460 W SOUTH PARK AVE, OSHKOSH, WI 54902-6677
(920) 303-1803
Mailing address
1460 W SOUTH PARK AVE, OSHKOSH, WI 54902-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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