Organization
CASCADE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY TUSTIN (G.M.P)
(541) 344-6058
Entity
Organization
Contact information
Practice address
1800 VALLEY RIVER DR, FOURTH FLOOR, EUGENE, OR 97401-6714
(541) 344-6058
(541) 343-9686
Mailing address
PO BOX 25012, EUGENE, OR 97402-0445
(541) 344-6058
(541) 343-9686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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