Cascade Oral Surgery | |
3215 Se 192nd Ave Ste 112 Vancouver WA 98683-1469 | |
(360) 256-7100 | |
(360) 256-8886 |
Full Name | Cascade Oral Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3215 Se 192nd Ave Ste 112, Vancouver, Washington |
Authorized Official Name and Position | Brandon Scott Rehrer (ORAL SURGEON) |
Authorized Official Contact | 3602567100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cascade Oral Surgery 3215 Se 192nd Ave Ste 112 Vancouver WA 98683-1469 Ph: (360) 256-7100 | Cascade Oral Surgery 3215 Se 192nd Ave Ste 112 Vancouver WA 98683-1469 Ph: (360) 256-7100 |
NPI Number | 1689988545 |
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Provider Enumeration Date | 08/03/2010 |
Last Update Date | 08/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689988545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE60129279 (Washington) | Primary |
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