Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC

NPI #1760172936 in Vancouver, Washington

Provider Information

NPI Number
1760172936
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
May 11, 2023
Last Updated
May 11, 2023

Practice Location

Address
900 SE CHKALOV DR
ZIP Code
98683-5240
Phone
(360) 896-1449

Authorized Official

Name
HILLARY THULL
Title
CREDENTIALING
Phone
(217) 540-8946

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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