Dental Professionals of Washington Quirt Mongrain Gibree PC
NPI #1932682374 in Spokane, Washington
Provider Information
- NPI Number
- 1932682374
- 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
- Sep 12, 2018
- Last Updated
- Sep 12, 2018
Practice Location
- Address
- 2807 S STONE ST STE 102
- City
- Spokane
- State
- Washington
- ZIP Code
- 99223-4904
- Phone
- (509) 624-7151
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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