Individual
STEPHEN T CANALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
560 QUILEUTE HEIGHTS, LAPUSH, WA 98350
(360) 374-6984
(360) 374-5448
Mailing address
PO BOX 189, LA PUSH, WA 98350-0189
(360) 374-6984
(360) 374-5448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011153
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400221
—
WA
05
—
7084486
—
WA
Enumeration date
12/20/2007
Last updated
12/20/2007
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