| NPI | 1306112685 |
|---|---|
| Doing Business As | QUIRT FAMILY DENTAL - SCHOFIELD |
| Entity Type | Organization |
| Authorized Contact | KIM WILSON Credentialing Coordinator 217-540-5170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |