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100 N Tribal Center Rd Skokomish Nation WA 98584-9748 | |
(360) 426-5755 | |
(360) 877-2032 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 100 N Tribal Center Rd, Skokomish Nation, Washington |
Authorized Official Name and Position | Frances Longshore (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 3604265755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 N Tribal Center Rd Skokomish Nation WA 98584-9748 Ph: (360) 426-5755 | 100 N Tribal Center Rd Skokomish Nation WA 98584-9748 Ph: (360) 426-5755 |
NPI Number | 1457506081 |
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Provider Enumeration Date | 11/24/2008 |
Last Update Date | 06/18/2010 |
Identifier | Type | State | Issuer |
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1457506081 | NPI | - | NPPES |
5021258 | Medicaid | WA | |
1007457 | Medicaid | WA | |
5400072 | Medicaid | WA |