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Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY HOWARD (CRED COR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
3926 CLEVELAND AVE SE, TUMWATER, WA 98501-4023
(360) 754-6072
Mailing address
3926 CLEVELAND AVE SE, TUMWATER, WA 98501-4023
(360) 754-6072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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