Individual
LEO TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21610 PACIFIC WAY, OCEAN PARK, WA 98640-3206
(360) 665-3000
(360) 665-3096
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 665-3000
(360) 665-3096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE70032815
WA
Other
Enumeration date
05/08/2023
Last updated
09/24/2025
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