Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Parent organization
HEARTLAND DENTAL
Other names
Tumwater Family Dentistry
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
6939 LITTLEROCK RD SW STE B, TUMWATER, WA 98512-7246
(360) 352-0401
Mailing address
6939 LITTLEROCK RD SW STE B, TUMWATER, WA 98512-7246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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