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Organization
SKOKOMISH TRIBAL COUNCIL
Active
Organization
SKOKOMISH TRIBAL COUNCIL
Active
Other names
SKOKOMISH TRIBE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES LONGSHORE (BUSINESS OFFICE MANAGER)
(360) 426-5755
Entity
Organization
Contact information
Practice address
100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
(360) 426-5755
(360) 877-2032
Mailing address
100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
(360) 426-5755
(360) 877-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007457
—
WA
05
—
5021258
—
WA
05
—
5400072
—
WA
Enumeration date
11/24/2008
Last updated
06/18/2010
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