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Keana Cruse, LDT — NPI 1730036856, La Conner, WA | NPI Central

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NPI 1730036856

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Keana Cruse, LDT

NPI 1730036856 · Dental Therapist · La Conner, WA

Provider details

NPI number: 1730036856
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: LDT
Sex: Female
Sole proprietor: Yes
License: DETLDD70095998 (WA)

Specialties & taxonomies

Dental TherapistPrimary125J00000XLicense DETLDD70095998 (WA)
Dental Providers

Practice location

17395 Reservation Rd

La Conner, WA 98257-8802

Phone: (360) 466-3900

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

309 N 21st St Apt 1

Mount Vernon, WA 98273-3565

Registry dates

Enumerated: 2026-03-16
Last updated: 2026-03-16
Certified: 2026-03-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.