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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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