| Cascade Kids Dentist | |
|
3806 116th St. Ne Marysville WA 98271 | |
| (425) 242-5821 | |
| Not Available |
| Full Name | Cascade Kids Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3806 116th St. Ne, Marysville, Washington |
| Authorized Official Name and Position | Roger Lucas (PRESIDENT) |
| Authorized Official Contact | 4252425821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Kids Dentist 12918 Mukilteo Speedway Suite C23 Box 596 Lynnwood WA 98087 Ph: (425) 242-5821 | Cascade Kids Dentist 3806 116th St. Ne Marysville WA 98271 Ph: (425) 242-5821 |
| NPI Number | 1124511126 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124511126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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