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QUIRT, GIBREE, MONGRAIN, P.C.

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Company Details

Legal Name: QUIRT, GIBREE, MONGRAIN, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 20th 2021
Expiration date: 30 Sep 2025
UBI Number: 604 810 122
ZIP code: 99212
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3018 N ARGONNE RD, MILLWOOD, WA, 99212-2179, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL, 62401-4637, UNITED STATES

Contact Details

E-Mail: CFOX@KCPAG.COM
Phone Number: +1 217-540-5100

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
SETH GIBREE Governing Person -
TIMOTHY QUIRT Governing Person -
ROBERT MONGRAIN Governing Person -
TIMOTHY J. QUIRT, DDS INCORPORATOR 9745 LOUNSBERRY CIR, GOLDEN OAK, FL, 32836, UNITED STATES

National Provider Identifier

NPI Number:
1891451985
Certification Date:
2021-11-01

Authorized Person:

Name:
HILLARY THULL
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

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