Swinomish Tribal Community | |
17395 Reservation Rd La Conner WA 98257-8802 | |
(360) 466-3900 | |
(360) 466-7301 |
Full Name | Swinomish Tribal Community |
---|---|
Speciality | Dentist - General Practice |
Location | 17395 Reservation Rd, La Conner, Washington |
Authorized Official Name and Position | Raymond A Dailey (DENTIST) |
Authorized Official Contact | 3604663900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Swinomish Tribal Community Po Box 332 La Conner WA 98257-0332 Ph: (360) 466-3900 | Swinomish Tribal Community 17395 Reservation Rd La Conner WA 98257-8802 Ph: (360) 466-3900 |
NPI Number | 1922203405 |
---|---|
Provider Enumeration Date | 06/15/2007 |
Last Update Date | 08/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922203405 | NPI | - | NPPES |
5039490 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6498 (North Carolina) | Primary |