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Organization

TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.

Active
Parent organization
TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.
Other names
Main Street Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization

Contact information

Practice address
623 W MAIN ST, MONROE, WA 98272-2101
(360) 805-9060
Mailing address
623 W MAIN ST, MONROE, WA 98272-2101
(360) 805-9060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/16/2024
Last updated
12/04/2024
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