| Swinomish Upper Skagit Dental | |
|
17395 Reservation Rd La Conner WA 98257-8802 | |
| (360) 466-3900 | |
| (360) 466-7301 |
| Full Name | Swinomish Upper Skagit Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17395 Reservation Rd, La Conner, Washington |
| Authorized Official Name and Position | Raymond A Dailey (DENTIST) |
| Authorized Official Contact | 3604663900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swinomish Upper Skagit Dental Po Box 332 La Conner WA 98257-0332 Ph: (360) 466-3900 | Swinomish Upper Skagit Dental 17395 Reservation Rd La Conner WA 98257-8802 Ph: (360) 466-3900 |
| NPI Number | 1922203405 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922203405 | NPI | - | NPPES |
| 5039490 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6498 (North Carolina) | Primary |