# DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Duvall Dental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225790819
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 14703 1ST LN NE STE 203, DUVALL, WA 98019-8470
- **Practice address phone:** (425) 307-4546
- **Mailing address:** 14703 1ST LN NE STE 203, DUVALL, WA 98019-8470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2021
- **Last updated:** 10/11/2021