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Organization
SQUAXIN ISLAND DENTAL CLINIC FFS
Active
Organization
SQUAXIN ISLAND DENTAL CLINIC FFS
Active
Other names
Squaxin Island Tribe
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY JONES (DIRECTOR)
(360) 427-9006
Entity
Organization
Contact information
Practice address
90 SE KLAH CHE MIN DR, SHELTON, WA 98584-9216
(360) 427-9006
Mailing address
90 SE KLAH CHE MIN DR, SHELTON, WA 98584-9216
(360) 427-9006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
WA
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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