NPI | 1629773205 |
---|---|
Doing Business As | CASCADES PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | TATIANA STAVER Owner 571-315-8058 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |