| Cascade Family Dental | |
|
1105 14th Ave Longview WA 98632-3016 | |
| (360) 425-8140 | |
| (360) 425-8145 |
| Full Name | Cascade Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1105 14th Ave, Longview, Washington |
| Authorized Official Name and Position | Mark Douglas Teigen (OWNER) |
| Authorized Official Contact | 3604258140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Family Dental 1105 14th Ave Longview WA 98632-3016 Ph: (360) 425-8140 | Cascade Family Dental 1105 14th Ave Longview WA 98632-3016 Ph: (360) 425-8140 |
| NPI Number | 1740560911 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740560911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE7669 (Washington) | Primary |
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