SearchWashington124Q00000X

Carly Goltiani, RDH

NPI 1972453454 · on the registry since 2026

Practice

Address
90 Se Klah Che Min Dr
Shelton, WA 98584
Phone
(360) 432-3881
Organisation at this address
Squaxin Island Tribe
Squaxin Island Tribe
Squaxin Island Tribe
Squaxin Island Dental Clinic Ffs
Squaxin Island Medical Encounter
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington