| Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc | |
|
160 Ne 192nd Ave Ste 301 Vancouver WA 98684-7511 | |
| (564) 236-1990 | |
| (564) 236-1986 |
| Full Name | Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160 Ne 192nd Ave Ste 301, Vancouver, Washington |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc 160 Ne 192nd Ave Ste 301 Vancouver WA 98684-7511 Ph: () - | Dental Professionals Of Washington, Quirt, Mongrain, Gibree, Pc 160 Ne 192nd Ave Ste 301 Vancouver WA 98684-7511 Ph: (564) 236-1990 |
| NPI Number | 1053149328 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053149328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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