Quirt, Gibree, Mongrain, P.c.

NPI #1891451985 in Millwood, Washington

Provider Information

NPI Number: 1891451985
Entity Type: Organization
Organization Name: Quirt, Gibree, Mongrain, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 12, 2021
Last Updated: Nov 12, 2021

Practice Location

Address: 3018 N ARGONNE RD
City: Millwood
State: Washington
ZIP Code: 99212-2179
Phone: (509) 928-5444

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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