Organization
TULALIP TRIBES OF WASHINGTON
Active
Parent organization
TULALIP TRIBES OF WA
Other names
Tulalip Tribes Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TULALIP TRIBES OF WA
Authorized official
CHRISTOPHER KINSLOW DDS (DENTAL DIRECTOR)
(360) 716-4511
Entity
Organization
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271
(360) 716-4511
(360) 716-5789
Mailing address
6406 MARINE DR STE A, TULALIP, WA 98271
(360) 716-5800
(360) 716-5789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00007477
WA
122300000X
Dentist
Primary
DE00010342
WA
122300000X
Dentist
DE60104988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014972
—
WA
Enumeration date
08/24/2011
Last updated
11/03/2022
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