Nooksack Dental Clinic

NPI #1891843769 in Everson, Washington

Provider Information

NPI Number
1891843769
Entity Type
Organization
Organization Name
Nooksack Dental Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
NOOKSACK TRIBE
Primary Specialty
Dentist
Enumeration Date
Jan 8, 2007
Last Updated
Aug 17, 2007

Practice Location

Address
6760 MISSION RD
ZIP Code
98247-9749
Phone
(360) 306-5151

Authorized Official

Name
MRS. ROSEMARY MORRIS, CDA
Title
DENTAL OFFICE MANAGER
Phone
(360) 306-5151

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
Nooksack Indian Tribe

Part of Nooksack Indian Tribe

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