Dental Professionals of Washington Quirt Mongrain Gibree PC
NPI #1518569086 in Maple Valley, Washington
Provider Information
- NPI Number
- 1518569086
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Washington Quirt Mongrain Gibree PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 10, 2020
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 23818 225TH AVE SE STE 100
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-5088
- Phone
- (425) 358-2553
Authorized Official
- Name
- JESSICA BRITT
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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