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Organization
SWINOMISH/UPPER SKAGIT DENTAL CLINIC
Active
Organization
SWINOMISH/UPPER SKAGIT DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND A DAILEY DDS (DENTIST)
(360) 466-3900
Entity
Organization
Contact information
Practice address
17395 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-3900
Mailing address
PO BOX 332, LA CONNER, WA 98257-0332
(360) 466-3900
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
NC6498
NC
305S00000X
Point of Service
NC6498
NC
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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