Dental Professionals Of Washington Quirt Mongrain Gibree PC
Dentist, General Practice in Everett, WA. Organization (NPI-2).
NPI number1619645652
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1619645652
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Of Washington Quirt Mongrain Gibree PC
- Organization subpart
- Yes
- Enumeration date
- Sep 3, 2021
- Certification date
- Sep 3, 2021
- Last updated
- Sep 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- All Smiles Northwest (Doing Business As)
Practice location
3802 Colby Ave Ste 3Everett, WA 98201-4940
Phone 425-252-9333
Mailing address
3802 Colby Ave Ste 3Everett, WA 98201-4940
Authorized official
Tabatha Lemke
Credentialing Coordinator
2175406078
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