| Quirt Family Dentistry - Wittenberg | |
|
200 S Cherry St Wittenberg WI 54499-9051 | |
| (715) 253-2694 | |
| Not Available |
| Full Name | Quirt Family Dentistry - Wittenberg |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 S Cherry St, Wittenberg, Wisconsin |
| Authorized Official Name and Position | Kim Wilson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quirt Family Dentistry - Wittenberg 200 S Cherry St Wittenberg WI 54499-9051 Ph: (715) 253-2694 | Quirt Family Dentistry - Wittenberg 200 S Cherry St Wittenberg WI 54499-9051 Ph: (715) 253-2694 |
| NPI Number | 1962777466 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962777466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Szmanda Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E Grand Ave, Wittenberg, WI 54499 Phone: 715-253-3200 |