| Cascadia Kids Dentistry | |
|
13034 Se Kent Kangley Rd Kent WA 98030-7965 | |
| (425) 301-2270 | |
| Not Available |
| Full Name | Cascadia Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13034 Se Kent Kangley Rd, Kent, Washington |
| Authorized Official Name and Position | Nicholas Andrew Raklios (OWNER) |
| Authorized Official Contact | 5415085946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascadia Kids Dentistry 13034 Se Kent Kangley Rd Kent WA 98030-7965 Ph: (425) 301-2270 | Cascadia Kids Dentistry 13034 Se Kent Kangley Rd Kent WA 98030-7965 Ph: (425) 301-2270 |
| NPI Number | 1912356411 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912356411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE 60557938 (Washington) | Primary |
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