| Quil Ceda Family Dental | |
|
8825 34th Ave Ne Ste M Tulalip WA 98271-8085 | |
| (360) 659-1149 | |
| (360) 716-3626 |
| Full Name | Quil Ceda Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 8825 34th Ave Ne Ste M, Tulalip, Washington |
| Authorized Official Name and Position | Ronald A. Sebastian (DENTIST) |
| Authorized Official Contact | 3606591149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quil Ceda Family Dental 8825 34th Ave Ne Ste M Tulalip WA 98271-8085 Ph: (360) 659-1149 | Quil Ceda Family Dental 8825 34th Ave Ne Ste M Tulalip WA 98271-8085 Ph: (360) 659-1149 |
| NPI Number | 1831404466 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831404466 | NPI | - | NPPES |
| 77045 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10444 (Washington) | Primary |
Tulalip Tribes Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7520 Totem Beach Rd, Tulalip, WA 98271 Phone: 360-716-4511 Fax: 360-716-5789 |