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Organization

QUIRT, MONGRAIN, GIBREE, P.C.

Active
Parent organization
QUIRT, MONGRAIN, GIBREE, P.C.
Other names
Edgewood Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUIRT, MONGRAIN, GIBREE, P.C.
Authorized official
HILLARY THULL (DIA TEAM)
(217) 540-8946
Entity
Organization

Contact information

Practice address
2222 MERIDIAN AVE E STE C, EDGEWOOD, WA 98371-1032
(253) 952-6112
Mailing address
2222 MERIDIAN AVE E STE C, EDGEWOOD, WA 98371-1032
(253) 952-6112

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/21/2022
Last updated
09/21/2022
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