# VANCOUVER DENTAL CARE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861735565
- **Authorized official:** TAREK FAHMY (DENTIST)
- **Authorized official phone:** (440) 506-1913

## Contact information

- **Practice address:** 1418 NE 78TH ST, VANCOUVER, WA 98665-9631
- **Practice address phone:** (360) 450-0075
- **Practice address fax:** (360) 719-2314
- **Mailing address:** 1418 NE 78TH ST, VANCOUVER, WA 98665-9631
- **Mailing address phone:** (360) 450-0075
- **Mailing address fax:** (360) 719-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60085479 | WA | Yes |

## Other

- **Enumeration date:** 04/01/2013
- **Last updated:** 04/01/2013
