Organization
QUIRT, MONGRAIN, GIBREE, P.C.
Active
Parent organization
QUIRT, MONGRAIN, GIBREE, P.C.
Other names
Grandridge Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUIRT, MONGRAIN, GIBREE, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
7103 W GRANDRIDGE BLVD STE G, KENNEWICK, WA 99336-6713
(509) 737-1800
Mailing address
7103 W GRANDRIDGE BLVD STE G, KENNEWICK, WA 99336-6713
(509) 737-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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