Organization
CASCADE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE ANNA SIMONSON RDH (OFFICE MANAGER)
(206) 293-3300
Entity
Organization
Contact information
Practice address
1109 S 348TH ST, SUITE B, FEDERAL WAY, WA 98003-7079
(253) 944-1848
(253) 944-1857
Mailing address
1109 S 348TH ST, SUITE B, FEDERAL WAY, WA 98003-7079
(253) 944-1848
(253) 944-1857
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 00010636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603 218 784
UNIFIED BUSINESS IDENTIFIER (UBI)
WA
Enumeration date
11/15/2012
Last updated
11/15/2012
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