| Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc | |
|
17513 Canyon Pkwy E Ste 103 Tacoma WA 98446-7500 | |
| (253) 330-8960 | |
| (253) 330-8938 |
| Full Name | Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17513 Canyon Pkwy E Ste 103, Tacoma, Washington |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc 17513 Canyon Pkwy E Ste 103 Tacoma WA 98446-7500 Ph: (253) 330-8960 | Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc 17513 Canyon Pkwy E Ste 103 Tacoma WA 98446-7500 Ph: (253) 330-8960 |
| NPI Number | 1710763784 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710763784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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