Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC
NPI #1053149328 in Vancouver, Washington
Provider Information
- NPI Number
- 1053149328
- 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
- Jul 26, 2024
- Last Updated
- Jul 26, 2024
Practice Location
- Address
- 160 NE 192ND AVE STE 301
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98684-7511
- Phone
- (564) 236-1990
Authorized Official
- Name
- HILLARY THULL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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