# WHITE SWAN DENTAL CLNIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITE SWAN DENTAL CLINIC
- **Other names:** IHS Yakama Service Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245378389
- **Legal business name:** WHITE SWAN DENTAL CLINIC
- **Authorized official:** MS. JAY SAMPSON (CEO)
- **Authorized official phone:** (509) 865-2102

## Contact information

- **Practice address:** 62 BIRD SONG LANE, WHITE SWAN, WA 98952
- **Practice address phone:** (509) 874-2028
- **Mailing address:** PO BOX 693, WHITE SWAN, WA 87841
- **Mailing address phone:** (509) 865-2102
- **Mailing address fax:** (509) 865-4986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 03/07/2023