| Cascade Family Dental Care | |
|
8765 Tallon Ln Ne Suite I Lacey WA 98516-6654 | |
| (360) 456-1234 | |
| Not Available |
| Full Name | Cascade Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8765 Tallon Ln Ne, Lacey, Washington |
| Authorized Official Name and Position | Sridevi Vijayasekaran (PRESIDENT) |
| Authorized Official Contact | 3604561234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Family Dental Care 8765 Tallon Ln Ne Suite I Lacey WA 98516-6654 Ph: (360) 456-1234 | Cascade Family Dental Care 8765 Tallon Ln Ne Suite I Lacey WA 98516-6654 Ph: (360) 456-1234 |
| NPI Number | 1609194059 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609194059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009476 (Washington) | Primary |
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