Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Parent organization
HEARTLAND DENTAL
Other names
Chehalis Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
68 SW 13TH ST, CHEHALIS, WA 98532-3627
(360) 748-1833
Mailing address
68 SW 13TH ST, CHEHALIS, WA 98532-3627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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