| Camano Island Dental Center | |
|
810 Rekdal Rd Carmano Island WA 98282 | |
| (360) 629-4097 | |
| (360) 629-3906 |
| Full Name | Camano Island Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 810 Rekdal Rd, Carmano Island, Washington |
| Authorized Official Name and Position | Randell Arthur Thompson (PRESIDENT CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 3606294097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camano Island Dental Center 810 Rekdal Rd Carmano Island WA 98282 Ph: (360) 629-4097 | Camano Island Dental Center 810 Rekdal Rd Carmano Island WA 98282 Ph: (360) 629-4097 |
| NPI Number | 1144388075 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144388075 | NPI | - | NPPES |
| 5030911 | Other | WA | DSHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00004408 (Washington) | Primary |