Mongrain, Gibree, Quirt, PC
NPI #1215539200 in Stanwood, Washington
Provider Information
- NPI Number
- 1215539200
- Entity Type
- Organization
- Organization Name
- Mongrain, Gibree, Quirt, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HEARTLAND DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 13, 2020
- Last Updated
- Nov 13, 2020
Practice Location
- Address
- 9628 271ST ST NW
- City
- Stanwood
- State
- Washington
- ZIP Code
- 98292-8096
- Phone
- (360) 629-4597
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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