| NPI | 1255546578 |
|---|---|
| Other Name | SQUAXIN ISLAND TRIBE |
| Entity Type | Organization |
| Authorized Contact | WHITNEY JONES Director 360-427-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 600371470) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |