Dental Professionals of Washington Quirt Mongrain Gibree PC
NPI #1033757125 in Marysville, Washington
Provider Information
- NPI Number
- 1033757125
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Washington Quirt Mongrain Gibree PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 19, 2019
- Last Updated
- Apr 9, 2020
Practice Location
- Address
- 505 CEDAR AVE STE C1
- City
- Marysville
- State
- Washington
- ZIP Code
- 98270-4561
- Phone
- (360) 659-3232
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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