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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5039490
—
WA
Enumeration date
05/13/2008
Last updated
05/13/2008
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