Individual
BENJAMIN D QUIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3417 SCHOFIELD AVE, SCHOFIELD, WI 54476-2572
(715) 355-5570
(715) 241-8171
Mailing address
3417 SCHOFIELD AVE, SCHOFIELD, WI 54476-2572
(715) 355-5570
(715) 241-8171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5502-015
WI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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