# DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL
- **Other names:** Tumwater Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447877857
- **Legal business name:** HEARTLAND DENTAL
- **Authorized official:** TABATHA LEMKE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-6078

## Contact information

- **Practice address:** 6939 LITTLEROCK RD SW STE B, TUMWATER, WA 98512-7246
- **Practice address phone:** (360) 352-0401
- **Mailing address:** 6939 LITTLEROCK RD SW STE B, TUMWATER, WA 98512-7246

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2020
- **Last updated:** 07/01/2020