# DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC
- **Other names:** Dental Designs
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760172936
- **Legal business name:** DENTAL PROFESSIONALS OF WASHINGTON, QUIRT, MONGRAIN, GIBREE, PC
- **Authorized official:** HILLARY THULL (CREDENTIALING)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 900 SE CHKALOV DR, VANCOUVER, WA 98683-5240
- **Practice address phone:** (360) 896-1449
- **Mailing address:** 900 SE CHKALOV DR, VANCOUVER, WA 98683-5240

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2023
- **Last updated:** 05/11/2023