NPI | 1194125351 |
---|---|
Doing Business As | CASCADE SMILES |
Entity Type | Organization |
Authorized Contact | JOHN MATTHEW GALLUCCI President 503-657-7770 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9304) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2014-09-30 |