| Cascade Family Dental | |
|
839 S Main St Cascade ID 83611 | |
| (208) 382-8200 | |
| Not Available |
| Full Name | Cascade Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 839 S Main St, Cascade, Idaho |
| Authorized Official Name and Position | Richard Dee Stoker (PRESIDENT) |
| Authorized Official Contact | 2085899107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Family Dental 262 N 4232 E Rigby ID 83442-5067 Ph: (208) 589-9107 | Cascade Family Dental 839 S Main St Cascade ID 83611 Ph: (208) 382-8200 |
| NPI Number | 1184282170 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184282170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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