# TULALIP TRIBES OF WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TULALIP TRIBES OF WA
- **Other names:** Tulalip Tribes Dental Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447530399
- **Legal business name:** TULALIP TRIBES OF WA
- **Authorized official:** CHRISTOPHER KINSLOW DDS (DENTAL DIRECTOR)
- **Authorized official phone:** (360) 716-4511

## Contact information

- **Practice address:** 7520 TOTEM BEACH RD, TULALIP, WA 98271
- **Practice address phone:** (360) 716-4511
- **Practice address fax:** (360) 716-5789
- **Mailing address:** 6406 MARINE DR STE A, TULALIP, WA 98271
- **Mailing address phone:** (360) 716-5800
- **Mailing address fax:** (360) 716-5789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00007477 | WA | — |
| 122300000X | Dentist | DE00010342 | WA | Yes |
| 122300000X | Dentist | DE60104988 | WA | — |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 11/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2014972 | — | WA |