| Dental Professionals Of Washington Quirt Mongrain Gibree Pc | |
|
2014 Howard St Ste A Walla Walla WA 99362-4532 | |
| (509) 525-4833 | |
| Not Available |
| Full Name | Dental Professionals Of Washington Quirt Mongrain Gibree Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2014 Howard St Ste A, Walla Walla, 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 2014 Howard St Ste A Walla Walla WA 99362-4532 Ph: () - | Dental Professionals Of Washington Quirt Mongrain Gibree Pc 2014 Howard St Ste A Walla Walla WA 99362-4532 Ph: (509) 525-4833 |
| NPI Number | 1558039594 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558039594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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