Organization
MARK D TEIGEN DDS PS
Active
Other names
Cascade Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DOUGLAS TEIGEN DDS (OWNER)
(360) 425-8140
Entity
Organization
Contact information
Practice address
1105 14TH AVE, LONGVIEW, WA 98632-3016
(360) 425-8140
(360) 425-8145
Mailing address
1105 14TH AVE, LONGVIEW, WA 98632-3016
(360) 425-8140
(360) 425-8145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE7669
WA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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