institution
Port Gamble S'klallam Dental Clinic
Dental Clinic/Center in Kingston, Washington
NPI 1669531067

Port Gamble S'klallam Dental Clinic is a Dental Clinic/Center based in Kingston, WA and is specialized in Dental. Port Gamble S'klallam Dental Clinic practices in Kingston, WA. The NPI Number for Port Gamble S'klallam Dental Clinic is 1669531067 and holds a License No. (Washington).

The current practice location address for Port Gamble S'klallam Dental Clinic is 32014 Little Boston Rd Ne, Kingston, WA and can be reached out via phone at 360-297-9601 and via fax at 360-297-9614.

Location: 32014 Little Boston Rd Ne, Kingston, WA, 98346-9734
institution
Provider Profile Details
NPI Number
1669531067
Provider Name
Port Gamble S'klallam Dental Clinic
Credential
Provider Entity Type
Organization
Address
32014 Little Boston Rd Ne, Kingston, WA, 98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5031810 05 WA
5031794 05 WA
institution
Provider Business Practice Location Address Details
Address
32014 Little Boston Rd Ne
City
State
Zip
98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
person
Provider Business Mailing Address Details
Address
32014 Little Boston Rd Ne
City
State
Zip
98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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