| NPI | 1003117946 |
|---|---|
| Doing Business As | CASCADE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MIKHAI CONG TA Owner 909-936-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2011-06-24 |