| NPI | 1588326730 |
|---|---|
| Doing Business As | CASCADE VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAURYNE VANDERHOOF Owner 989-309-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |