Organization
KAISER PERMANENTE DENTAL CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODEEN CALLAGHAN DMD (PROFESSIONAL DIRECTOR, CASCADE PARK)
(360) 896-4484
Entity
Organization
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
510 W 34TH ST, VANCOUVER, WA 98660-1811
(360) 695-7208
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004025
WA
Other
Enumeration date
07/28/2006
Last updated
05/24/2021
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