Quirt Family Dentistry Sc

NPI 1205976776 - Dentist - 122300000X

NPI Details
NPI 1205976776
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT G ROBERT
Position OWNER
Phone (715) 355-5570
Fax (715) 241-8171
Practice Location
3417 SCHOFIELD AVENUE
SCHOFIELD WI, 54476, US
Phone (715) 355-5570
Fax (715) 241-8171
Business Location
3417 SCHOFIELD AVENUE
SCHOFIELD WI, 54476, US
Phone (715) 355-5570
Fax (715) 241-8171
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 5987015
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According to our database, Quirt Family Dentistry Sc NPI is 1205976776, taxonomy code is 122300000X and license number is 5987015, license state is located at Wisconsin. Quirt Family Dentistry Sc physically located at 3417 Schofield Avenue, Schofield WI, 54476. NPI Number 1033115704 has the healthcare provider type.

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1205976776 NPI number is provided on an as is basis without warranty of any kind. 1205976776 is maintained by the National Plan & Provider Enumeration System. The contents of Quirt Family Dentistry Sc are for informational purposes only.