Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Parent organization
HEARTLAND DENTAL
Other names
Old Town Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
8745 PACIFIC AVE NW STE 101, SILVERDALE, WA 98383-8394
(360) 692-9437
Mailing address
8745 PACIFIC AVE NW STE 101, SILVERDALE, WA 98383-8394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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