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Organization

VANCOUVER CENTER FOR GENERAL AND COSMETIC DENTISTRY

Active
Other names
New Leaf Dental Care
Organization subpart
Yes

Provider details

NPI number
Authorized official
MR. RICHARD E SIPES DDS (PRESIDENT)
(360) 699-5555
Entity
Organization

Contact information

Practice address
6715 NE 63RD ST STE 101, VANCOUVER, WA 98661-1980
(360) 699-5555
(360) 699-8999
Mailing address
6715 NE 63RD ST STE 101, VANCOUVER, WA 98661-1980
(360) 699-5555
(360) 699-8999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WA

Other

Enumeration date
02/29/2008
Last updated
02/29/2008
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