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

NPI #1851023352 in Stanwood, Washington

Provider Information

NPI Number
1851023352
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
Jun 24, 2022
Last Updated
Jun 24, 2022

Practice Location

Address
26606 72ND AVE NW
ZIP Code
98292-6203
Phone
(360) 926-0294

Authorized Official

Name
CELIA HAYES
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-2100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
Mongrain, Gibree, Quirt, PC

Part of Heartland Dental

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