Quirt Family Dentistry | |
1155 Wittmann Dr Menasha WI 54952-3607 | |
(920) 725-5584 | |
Not Available |
Full Name | Quirt Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 1155 Wittmann Dr, Menasha, Wisconsin |
Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175406078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quirt Family Dentistry 1155 Wittmann Dr Menasha WI 54952-3607 Ph: () - | Quirt Family Dentistry 1155 Wittmann Dr Menasha WI 54952-3607 Ph: (920) 725-5584 |
NPI Number | 1881151256 |
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Provider Enumeration Date | 02/21/2019 |
Last Update Date | 02/21/2019 |
Identifier | Type | State | Issuer |
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1881151256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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