Organization
DOCARE DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF LEIPHAM (PRESIDENT)
(425) 736-5521
Entity
Organization
Contact information
Practice address
6720 FORT DENT WAY STE 120, TUKWILA, WA 98188-2580
(206) 242-4121
(206) 242-4113
Mailing address
6720 FORT DENT WAY STE 120, TUKWILA, WA 98188-2580
(206) 242-4121
(206) 242-4113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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