NPI | 1912356411 |
---|---|
Doing Business As | CASCADIA KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | NICHOLAS ANDREW RAKLIOS Owner 541-508-5946 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE 60557938) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2023-12-13 |