Dental Professionals of Washington Quirt Mongrain Gibree PC
NPI #1225790819 in Duvall, Washington
Provider Information
- NPI Number
- 1225790819
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Washington Quirt Mongrain Gibree PC
- Subpart
- Yes (part of a larger organization)
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 11, 2021
- Last Updated
- Oct 11, 2021
Practice Location
- Address
- 14703 1ST LN NE STE 203
- City
- Duvall
- State
- Washington
- ZIP Code
- 98019-8470
- Phone
- (425) 307-4546
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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