Dental Professionals of Washington Quirt Mongrain Gibree PC
NPI #1134865736 in Puyallup, Washington
Provider Information
- NPI Number
- 1134865736
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Washington Quirt Mongrain Gibree PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HEARTLAND DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 7, 2022
- Last Updated
- May 7, 2022
Practice Location
- Address
- 13333 MERIDIAN E STE E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98373-2405
- Phone
- (253) 770-4342
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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