NPI 1104093731

Swinomish/Upper Skagit Dental Clinic

Organisation Public Health or Welfare Agency La Conner, WA

Practice location

Address: 17395 Reservation Rd, La Conner, WA 98257-8802
Phone: (360) 466-3900
Mailing address: PO Box 332, La Conner, WA 98257-0332

Authorised official

Name: Raymond a Dailey
Title: Dentist
Phone: (360) 466-3900

Registered specialties (2)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence NC6498 (NC)

Other Public Health or Welfare providers in Washington →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence NC6498 (NC)

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Registry record

NPI: 1104093731
Entity type: Organization
NPI issued: 13 May 2008
Record last updated: 13 May 2008

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.