| 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 |