Organization
GIBREE, QUIRT, MONGRAIN, P.C.
Active
Parent organization
GIBREE, QUIRT, MONGRAIN, P.C.
Other names
Southpoint Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBREE, QUIRT, MONGRAIN, P.C.
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
1129 S 2ND AVE STE A, WALLA WALLA, WA 99362-4100
(509) 522-2522
Mailing address
1129 S 2ND AVE STE A, WALLA WALLA, WA 99362-4100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
03/29/2023
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