# GIBREE, QUIRT, MONGRAIN, P.C.

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

## Provider details

- **NPI number:** 1942978986
- **Legal business name:** GIBREE, QUIRT, MONGRAIN, P.C.
- **Authorized official:** HANNAH FISH (CREDENTIALING MANAGER)
- **Authorized official phone:** (217) 540-5699

## Contact information

- **Practice address:** 1129 S 2ND AVE STE A, WALLA WALLA, WA 99362-4100
- **Practice address phone:** (509) 522-2522
- **Mailing address:** 1129 S 2ND AVE STE A, WALLA WALLA, WA 99362-4100

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 03/29/2023