Organization
TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.
Active
Parent organization
TIMOTHY QUIRT, MONGRAIN, GIBREE, P.C.
Other names
Enso Dentistry
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
15446 BEL RED RD STE 100, REDMOND, WA 98052-5503
(425) 558-3676
Mailing address
15446 BEL RED RD STE 100, REDMOND, WA 98052-5503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
02/02/2024
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