# QUIRT, MONGRAIN, GIBREE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** QUIRT, MONGRAIN, GIBREE, P.C.
- **Other names:** Edgewood Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992428395
- **Legal business name:** QUIRT, MONGRAIN, GIBREE, P.C.
- **Authorized official:** HILLARY THULL (DIA TEAM)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 2222 MERIDIAN AVE E STE C, EDGEWOOD, WA 98371-1032
- **Practice address phone:** (253) 952-6112
- **Mailing address:** 2222 MERIDIAN AVE E STE C, EDGEWOOD, WA 98371-1032
- **Mailing address phone:** (253) 952-6112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2022
- **Last updated:** 09/21/2022