Mongrain, Quirt, Gibree, P.c.

NPI #1821763897 in Duvall, Washington

Provider Information

NPI Number
1821763897
Entity Type
Organization
Organization Name
Mongrain, Quirt, Gibree, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
HEARTLAND DENTAL
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 12, 2021
Last Updated
Sep 17, 2021

Practice Location

Address
14142 MAIN ST NE STE 104
City
Duvall
ZIP Code
98019-9007
Phone
(425) 318-7689

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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