# TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.
- **Other names:** Enso Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326687237
- **Legal business name:** TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 15446 BEL RED RD STE 100, REDMOND, WA 98052-5503
- **Practice address phone:** (425) 558-3676
- **Mailing address:** 15446 BEL RED RD STE 100, REDMOND, WA 98052-5503

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2019
- **Last updated:** 02/02/2024