Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Other names
Colton Complete Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
9302 N. COLTON STREET, STE 202, SPOKANE, WA 99218
(509) 325-2188
(509) 326-2991
Mailing address
9302 N. COLTON STREET, STE 202, SPOKANE, WA 99218
(509) 325-2188
(509) 326-2991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE7492
WA
Other
Enumeration date
05/09/2007
Last updated
02/13/2018
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