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Organization

SWINOMISH UPPER SKAGIT DENTAL

Active
Other names
Swinomish Tribal Community
Organization subpart
No

Provider details

NPI number
Authorized official
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
(360) 466-7301
Mailing address
PO BOX 332, LA CONNER, WA 98257-0332
(360) 466-3900
(360) 466-7301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6498
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5039490
WA
Enumeration date
06/15/2007
Last updated
08/20/2007
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