Organization
MONGRAIN, QUIRT, GIBREE PROFESSIONAL SERVICES, P.C.
Active
Parent organization
MONGRAIN, QUIRT, GIBREE PROFESSIONAL SERVICES, P.C.
Other names
Inland Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONGRAIN, QUIRT, GIBREE PROFESSIONAL SERVICES, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
217 S 2ND AVE, WALLA WALLA, WA 99362-3002
(509) 525-7250
Mailing address
217 S 2ND AVE, WALLA WALLA, WA 99362-3002
(509) 525-7250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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