| Dba Cascade Dental Group | |
|
16703 Se Mcgillivray Blvd Suite 100 Vancouver WA 98683-4300 | |
| (360) 892-2994 | |
| (360) 892-3929 |
| Full Name | Dba Cascade Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16703 Se Mcgillivray Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Pam J. Woods (OFFICE BOOKKEEPER) |
| Authorized Official Contact | 3608922994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Cascade Dental Group 16703 Se Mcgillivray Blvd Suite 100 Vancouver WA 98683-4300 Ph: (360) 892-2994 | Dba Cascade Dental Group 16703 Se Mcgillivray Blvd Suite 100 Vancouver WA 98683-4300 Ph: (360) 892-2994 |
| NPI Number | 1922146042 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922146042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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