Cascade Family Dental Care

NPI #1609194059 in Lacey, Washington

Provider Information

NPI Number
1609194059
Entity Type
Organization
Organization Name
Cascade Family Dental Care
Primary Specialty
Dentist - General Practice
Enumeration Date
May 10, 2010
Last Updated
May 10, 2010

Practice Location

Address
8765 TALLON LN NE
Address 2
SUITE I
City
Lacey
ZIP Code
98516-6654
Phone
(360) 456-1234

Authorized Official

Name
SRIDEVI VIJAYASEKARAN, DMD
Title
PRESIDENT
Phone
(360) 456-1234

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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