Robert Mongrain, Quirt, Gibree, P.c.

NPI #1922713817 in Longview, Washington

Provider Information

NPI Number
1922713817
Entity Type
Organization
Organization Name
Robert Mongrain, Quirt, Gibree, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 16, 2023
Last Updated
Jan 16, 2023

Practice Location

Address
1105 14TH AVE
ZIP Code
98632-3016
Phone
(360) 916-4200

Authorized Official

Name
CEMYIRA MCDOUGAL
Title
CREDENTIALING COORDINATOR
Phone
(217) 764-8609

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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