NPI 1730036856

Keana S Cruse, LDT

Practitioner Dental Therapist La Conner, WA

Practice location

Address: 17395 Reservation Rd, La Conner, WA 98257-8802
Phone: (360) 466-3900
Mailing address: 309 N 21st St APT 1, Mount Vernon, WA 98273-3565

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DETLDD70095998 (WA)

Other Dental Therapist providers in Washington →

Registry record

NPI: 1730036856
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2026
Record last updated: 16 Mar 2026

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.