Quirt, Mongrain, Gibree Professional Services, PC

NPI #1215674163 in Marysville, Washington

Provider Information

NPI Number
1215674163
Entity Type
Organization
Organization Name
Quirt, Mongrain, Gibree Professional Services, PC
Subpart
Yes (part of a larger organization)
Parent Organization
QUIRT, MONGRAIN, GIBREE PROFESSIONAL SERVICES, PC
Primary Specialty
Dentist - Periodontics
Enumeration Date
May 12, 2022
Last Updated
Jun 3, 2022

Practice Location

Address
5100 GROVE ST STE A
ZIP Code
98270-4492
Phone
(360) 659-6732

Authorized Official

Name
COURTNEY R MONTEITH
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8306

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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