NPI 1003028952

Shoalwater Bay Indian Tribe

Organisation Dental Clinic/Center Tokeland, WA

Practice location

Address: 2373 Old Tokeland Rd, Tokeland, WA 98590
Phone: (360) 267-8103
Fax: (360) 267-1437
Mailing address: PO Box 500, Tokeland, WA 98590-0500

Authorised official

Name: Carol Johnson
Title: Tribal Administrator
Phone: (360) 267-6766

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Washington →

Registry record

NPI: 1003028952
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.