# DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Colton Complete Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174737274
- **Authorized official:** CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
- **Authorized official phone:** (217) 540-8972

## Contact information

- **Practice address:** 9302 N. COLTON STREET, STE 202, SPOKANE, WA 99218
- **Practice address phone:** (509) 325-2188
- **Practice address fax:** (509) 326-2991
- **Mailing address:** 9302 N. COLTON STREET, STE 202, SPOKANE, WA 99218
- **Mailing address phone:** (509) 325-2188
- **Mailing address fax:** (509) 326-2991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE7492 | WA | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 02/13/2018