Organization
ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
Active
Parent organization
ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
Other names
Cascade Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT MONGRAIN, QUIRT, GIBREE, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
1105 14TH AVE, LONGVIEW, WA 98632-3016
(360) 916-4200
Mailing address
1105 14TH AVE, LONGVIEW, WA 98632-3016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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