| NPI | 1669973160 |
|---|---|
| Doing Business As | CASCADE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWIN WILSON President/Owner 360-314-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009284) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D7955) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |