Quirt, Mongrain, Gibree, P.c.

NPI #1992428395 in Edgewood, Washington

Provider Information

NPI Number: 1992428395
Entity Type: Organization
Organization Name: Quirt, Mongrain, Gibree, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: QUIRT, MONGRAIN, GIBREE, P.C.
Primary Specialty: Dentist
Enumeration Date: Sep 21, 2022
Last Updated: Sep 21, 2022

Practice Location

Address: 2222 MERIDIAN AVE E STE C
City: Edgewood
State: Washington
ZIP Code: 98371-1032
Phone: (253) 952-6112

Authorized Official

Name: HILLARY THULL
Title: DIA TEAM
Phone: (217) 540-8946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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