# CADEN NGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023235397
- **Gender:** Man
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008865 | WA | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 122300000X | TAXONOMY | WA |
| 05 | — | 5041058 | — | WA |
| 01 | — | DE00008865 | DENTIST | WA |