Dental Professionals of Washington Quirt Mongrain Gibree PC
NPI #1821606724 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1821606724
- 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
- Jul 16, 2020
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 9514 4TH ST NE UNIT 102
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258-1937
- Phone
- (425) 334-4001
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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