Organization
CASCADE FAMILY DENTAL
Active
Other names
Cascade Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DEE STOKER DMD (PRESIDENT)
(208) 589-9107
Entity
Organization
Contact information
Practice address
839 S MAIN ST, CASCADE, ID 83611
(208) 382-8200
Mailing address
262 N 4232 E, RIGBY, ID 83442-5067
(208) 589-9107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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