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Organization

QUIRT, MONGRAIN, GIBREE PROFESSIONAL SERVICES, PC

Active
Parent organization
QUIRT, MONGRAIN, GIBREE PROFESSIONAL SERVICES, PC
Other names
Marysville Periodontal and Implant Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUIRT, MONGRAIN, GIBREE PROFESSIONAL SERVICES, PC
Authorized official
COURTNEY R MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization

Contact information

Practice address
5100 GROVE ST STE A, MARYSVILLE, WA 98270-4492
(360) 659-6732
Mailing address
5100 GROVE ST STE A, MARYSVILLE, WA 98270-4492

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
05/12/2022
Last updated
06/03/2022
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