| Dental Professionals Of Washington Quirt Mongrain Gibree Pc | |
|
68 Sw 13th St Chehalis WA 98532-3627 | |
| (360) 748-1833 | |
| Not Available |
| Full Name | Dental Professionals Of Washington Quirt Mongrain Gibree Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 68 Sw 13th St, Chehalis, Washington |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Washington Quirt Mongrain Gibree Pc 68 Sw 13th St Chehalis WA 98532-3627 Ph: () - | Dental Professionals Of Washington Quirt Mongrain Gibree Pc 68 Sw 13th St Chehalis WA 98532-3627 Ph: (360) 748-1833 |
| NPI Number | 1316564925 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316564925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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