Tulalip Tribes of Washington

NPI #1447530399 in Tulalip, Washington

Provider Information

NPI Number: 1447530399
Entity Type: Organization
Organization Name: Tulalip Tribes of Washington
Subpart: Yes (part of a larger organization)
Parent Organization: TULALIP TRIBES OF WA
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2011
Last Updated: Nov 3, 2022

Practice Location

Address: 7520 TOTEM BEACH RD
City: Tulalip
State: Washington
ZIP Code: 98271
Phone: (360) 716-4511

Authorized Official

Name: CHRISTOPHER KINSLOW, DDS
Title: DENTAL DIRECTOR
Phone: (360) 716-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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