| Mongrain, Quirt, Gibree Professional Services, P.c. | |
|
217 S 2nd Ave Walla Walla WA 99362-3002 | |
| (509) 525-7250 | |
| Not Available |
| Full Name | Mongrain, Quirt, Gibree Professional Services, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217 S 2nd Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Cemyira Mcdougal (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2177648609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mongrain, Quirt, Gibree Professional Services, P.c. 217 S 2nd Ave Walla Walla WA 99362-3002 Ph: (509) 525-7250 | Mongrain, Quirt, Gibree Professional Services, P.c. 217 S 2nd Ave Walla Walla WA 99362-3002 Ph: (509) 525-7250 |
| NPI Number | 1538886452 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538886452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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