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QUIRT, MONGRAIN, GIBREE, P.C.

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Company Details

Legal Name: QUIRT, MONGRAIN, GIBREE, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 5th 2020
Expiration date: 31 Aug 2025
UBI Number: 604 639 094
ZIP code: 98208
City: Everett
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10025 19TH AVE SE STE 200, EVERETT, WA, 98208-4275, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1200 NETWORK CENTRE DR., STE 2, EFFINGHAM, IL, 62401, 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
TIMOTHY QUIRT Governing Person -
ROBERT MONGRAIN Governing Person -
SETH GIBREE Governing Person -
ROBERT MONGRAIN, DMD Incorporator 9941 S 78TH EAST AVE, TULSA, OK, 74133-7007, UNITED STATES
SETH GIBREE, DMD Incorporator 2620 MONET DR, CUMMING, GA, 30041-7155, UNITED STATES
TIMOTHY QUIRT, DDS Incorporator 222450 BLUEBELL LN, WAUSAU, WI, 54401-6670, UNITED STATES

National Provider Identifier

NPI Number:
1750122644
Certification Date:
2024-06-04

Authorized Person:

Name:
CEMYIRA MCDOUGAL
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

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

Contacts:

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