| NPI | 1124511126 |
|---|---|
| Doing Business As | CASCADE KIDS DENTIST |
| Entity Type | Organization |
| Authorized Contact | ROGER LUCAS President 425-242-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |