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Organization

CASCADE DENTAL, PC

Active
Other names
Cascade Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L RIPPLINGER DDS (PRESIDENT)
(208) 994-2113
Entity
Organization

Contact information

Practice address
839 S MAIN STREET, CASCADE, ID 83611
(208) 382-8200
Mailing address
6532 N DOUBLE EAGLE LN, MERIDIAN, ID 83646-5103
(208) 949-0239

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
04/09/2015
Last updated
04/09/2015
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