| Stillaguamish Family Dentistry | |
|
430 N West Ave Ste 1 Arlington WA 98223-1539 | |
| (360) 403-8761 | |
| (360) 474-9085 |
| Full Name | Stillaguamish Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 430 N West Ave Ste 1, Arlington, Washington |
| Authorized Official Name and Position | Thomas Ashley (DIRECTOR OF SOCIAL & HEALTH SERVICE) |
| Authorized Official Contact | 3606531104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillaguamish Family Dentistry 430 N West Ave Ste 1 Arlington WA 98223-1539 Ph: (360) 403-8761 | Stillaguamish Family Dentistry 430 N West Ave Ste 1 Arlington WA 98223-1539 Ph: (360) 403-8761 |
| NPI Number | 1699861427 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699861427 | NPI | - | NPPES |
| 5400015 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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