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Quinault Indian Nation
Dental Clinic/Center in Taholah, Washington
NPI 1457542847

Quinault Indian Nation is a Dental Clinic/Center based in Taholah, WA and is specialized in Dental. Quinault Indian Nation practices in Taholah, WA. The NPI Number for Quinault Indian Nation is 1457542847 and holds a License No. FEDERAL FACILITY (Washington).

The current practice location address for Quinault Indian Nation is 1505 Kla-Ook-Wa Dr, Taholah, WA and can be reached out via phone at 360-276-4405 and via fax at 360-276-4474.

Location: 1505 Kla-Ook-Wa Dr, Taholah, WA, 98587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457542847
Provider Name
Quinault Indian Nation
Credential
Provider Entity Type
Organization
Address
1505 Kla-Ook-Wa Dr, Taholah, WA, 98587
Phone Number
360-276-4405
Fax Number
360-276-4474
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7082191 05 WA
institution
Provider Business Practice Location Address Details
Address
1505 Kla-Ook-Wa Dr
City
Taholah
State
Washington
Zip
98587
Phone Number
360-276-4405
Fax Number
360-276-4474
person
Provider Business Mailing Address Details
Address
1505 Kla-Ook-Wa Dr
City
Taholah
State
Washington
Zip
98587
Phone Number
360-276-4405
Fax Number
360-276-4474
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
FEDERAL FACILITY ()
Definition
Definition to come...
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