| NPI | 1235404732 |
|---|---|
| Doing Business As | QUIRT FAMILY DENTISTRY - WAUSAU |
| Entity Type | Organization |
| Authorized Contact | KIM WILSON Credentialing Coordinator 217-540-5170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |