| Dental Professionals Of Washington Quirt Mongrain Gibree Pc | |
|
2807 S Stone St Ste 102 Spokane WA 99223-4904 | |
| (509) 624-7151 | |
| Not Available |
| Full Name | Dental Professionals Of Washington Quirt Mongrain Gibree Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2807 S Stone St Ste 102, Spokane, Washington |
| Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Washington Quirt Mongrain Gibree Pc 2807 S Stone St Ste 102 Spokane WA 99223-4904 Ph: (509) 624-7151 | Dental Professionals Of Washington Quirt Mongrain Gibree Pc 2807 S Stone St Ste 102 Spokane WA 99223-4904 Ph: (509) 624-7151 |
| NPI Number | 1932682374 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932682374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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