Quinault Indian Nation

NPI #1457542847 in Taholah, Washington

Provider Information

NPI Number
1457542847
Entity Type
Organization
Organization Name
Quinault Indian Nation
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 9, 2007
Last Updated
Aug 9, 2007

Practice Location

Address
1505 KLA-OOK-WA DR
ZIP Code
98587
Phone
(360) 276-4405

Authorized Official

Name
MISS MARIAH YVONNE RALSTON
Title
BILLING MANAGER
Phone
(360) 276-4405

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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