| Cascade Oral Medicine Inc., P.s. | |
|
1800 C St Suite #226 Bellingham WA 98225-4000 | |
| (360) 383-6824 | |
| (360) 676-4969 |
| Full Name | Cascade Oral Medicine Inc., P.s. |
|---|---|
| Speciality | Dentist |
| Location | 1800 C St, Bellingham, Washington |
| Authorized Official Name and Position | Marijoyce Ramos Leynes (OWNER) |
| Authorized Official Contact | 2065539302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Oral Medicine Inc., P.s. 2522 Crestline Dr Bellingham WA 98226-4209 Ph: (206) 553-9302 | Cascade Oral Medicine Inc., P.s. 1800 C St Suite #226 Bellingham WA 98225-4000 Ph: (360) 383-6824 |
| NPI Number | 1619242294 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Medicare PECOS PAC ID | 9335304591 |
|---|---|
| Medicare Enrollment ID | O20120713000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619242294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60228332 (Washington) | Primary |
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