| Quirt Family Dentistry | |
|
10401 W Lincoln Ave West Allis WI 53227-1255 | |
| (414) 327-4100 | |
| Not Available |
| Full Name | Quirt Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10401 W Lincoln Ave, West Allis, 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 |
|---|---|
| Quirt Family Dentistry 10401 W Lincoln Ave West Allis WI 53227-1255 Ph: () - | Quirt Family Dentistry 10401 W Lincoln Ave West Allis WI 53227-1255 Ph: (414) 327-4100 |
| NPI Number | 1942767314 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942767314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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