Quirt, Mongrain, Gibree, P.c.
NPI #1336630615 in Kenmore, Washington
Provider Information
- NPI Number
- 1336630615
- Entity Type
- Organization
- Organization Name
- Quirt, Mongrain, Gibree, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 23, 2018
- Last Updated
- Sep 18, 2020
Practice Location
- Address
- 5723 NE BOTHELL WAY STE A
- City
- Kenmore
- State
- Washington
- ZIP Code
- 98028-9404
- Phone
- (206) 525-2813
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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