| NPI | 1962394312 |
|---|---|
| Doing Business As | CASCADE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK STAPLETON President 541-736-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |