Organization
CASCADE ENDODONTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH EDMUNDS (PRACTICE MANAGER)
(541) 388-1500
Entity
Organization
Contact information
Practice address
1590 NE WILLIAMSON BLVD, BEND, OR 97701-6071
(541) 388-1500
(541) 388-6995
Mailing address
1590 NE WILLIAMSON BLVD, BEND, OR 97701-6071
(541) 388-1500
(541) 388-6995
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8211
OR
1223E0200X
Endodontics
D8490
OR
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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