Organization
STILLAGUAMISH TRIBE OF INDIANS
Active
Other names
Stillaguamish Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDA TATRO (OFFICE MANAGER)
(360) 403-8761
Entity
Organization
Contact information
Practice address
430 N WEST AVE, SUITE 1, ARLINGTON, WA 98223-1539
(360) 403-8761
(360) 474-9085
Mailing address
430 N WEST AVE, SUITE 1, ARLINGTON, WA 98223-1539
(360) 403-8761
(360) 474-9085
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049770
—
WA
Enumeration date
11/20/2006
Last updated
08/22/2020
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