Port Gamble S'klallam Dental Clinic
NPI #1669531067 in Kingston, Washington
Provider Information
- NPI Number
- 1669531067
- Entity Type
- Organization
- Organization Name
- Port Gamble S'klallam Dental Clinic
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 32014 LITTLE BOSTON RD NE
- City
- Kingston
- State
- Washington
- ZIP Code
- 98346-9734
- Phone
- (360) 297-9601
Authorized Official
- Name
- KERSTIN MARGARETA POWELL
- Title
- HEALTH CENTER BUSINESS OFFICE MANAG
- Phone
- (360) 297-9601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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