Organization
DENTAL PROFESSIONALS OF WASHINGTON QUIRT MONGRAIN GIBREE PC
Active
Parent organization
HEARTLAND DENTAL
Other names
Cordata Dental Professionals
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
4145 MERIDIAN ST, BELLINGHAM, WA 98226-5514
(360) 734-6300
Mailing address
4145 MERIDIAN ST, BELLINGHAM, WA 98226-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
05/10/2022
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