Organization
NOOKSACK DENTAL CLINIC
Active
Parent organization
NOOKSACK TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOOKSACK TRIBE
Authorized official
MRS. ROSEMARY MORRIS CDA (DENTAL OFFICE MANAGER)
(360) 306-5151
Entity
Organization
Contact information
Practice address
6760 MISSION RD, EVERSON, WA 98247-9749
(360) 306-5151
(360) 306-5191
Mailing address
6760 MISSION RD, EVERSON, WA 98247-9749
(360) 306-5151
(360) 306-5191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010128
WA
Other
Enumeration date
01/08/2007
Last updated
08/17/2007
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