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The Muckleshoot Health and Wellness Center [HWC] in Auburn WA is a Tribal clinic located in a rural community on the Muckleshoot Indian Reservation. The HWC provides Medical, Dental, Optical, Pharmacy, and Fitness exclusively to the Native population in King County [CHSDA]. The Dental clinic currently averages about 240 visits per month, with increasing number of visits yearly. Full-time staff consists of 3 Dentists, 1 Hygienist, 4 Dental Asst. & 3 Admin/Receptionist. They are currently using paper charting, but use IHS EHR for prescription medications and IHS Scheduling GUI package and bill through RPMS TPB. They Dental clinic receives IT tech support through the HWC Administration. The Muckleshoot Dental clinic has been updated to include 13 operatories with PCs and wired network serving 11 stations. 3 of the operatories are quiet rooms where Nitrous Oxide is administered. Muckleshoot has Digital X-Ray with Patterson Imaging software, Electronic Anesthesia, and Laser cavity detection.