Organization
MONGRAIN, QUIRT, GIBREE, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Duvall Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
14142 MAIN ST NE STE 104, DUVALL, WA 98019-9007
(425) 318-7689
Mailing address
14142 MAIN ST NE STE 104, DUVALL, WA 98019-9007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
09/17/2021
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