Mongrain, Quirt, Gibree Professional Services, P.c.
NPI #1538886452 in Walla Walla, Washington
Provider Information
- NPI Number
- 1538886452
- Entity Type
- Organization
- Organization Name
- Mongrain, Quirt, Gibree Professional Services, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MONGRAIN, QUIRT, GIBREE PROFESSIONAL SERVICES, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Oct 21, 2022
Practice Location
- Address
- 217 S 2ND AVE
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-3002
- Phone
- (509) 525-7250
Authorized Official
- Name
- CEMYIRA MCDOUGAL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 764-8609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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