Dental Professionals of Washington Quirt Mongrain Gibree PC

NPI #1538631783 in Tumwater, Washington

Provider Information

NPI Number: 1538631783
Entity Type: Organization
Organization Name: Dental Professionals of Washington Quirt Mongrain Gibree PC
Primary Specialty: Dentist
Enumeration Date: Dec 28, 2018
Last Updated: Dec 28, 2018

Practice Location

Address: 3926 CLEVELAND AVE SE
City: Tumwater
State: Washington
ZIP Code: 98501-4023
Phone: (360) 754-6072

Authorized Official

Name: BRITTANY HOWARD
Title: CRED COR
Phone: (217) 540-8946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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