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

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
- **Other names:** Cascade Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922713817
- **Legal business name:** ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 1105 14TH AVE, LONGVIEW, WA 98632-3016
- **Practice address phone:** (360) 916-4200
- **Mailing address:** 1105 14TH AVE, LONGVIEW, WA 98632-3016

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 01/16/2023