| New Leaf Dental Care | |
|
6715 Ne 63rd St Ste 101 Vancouver WA 98661-1980 | |
| (360) 699-5555 | |
| (360) 699-8999 |
| Full Name | New Leaf Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 6715 Ne 63rd St Ste 101, Vancouver, Washington |
| Authorized Official Name and Position | Richard E Sipes (PRESIDENT) |
| Authorized Official Contact | 3606995555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Dental Care 6715 Ne 63rd St Ste 101 Vancouver WA 98661-1980 Ph: (360) 699-5555 | New Leaf Dental Care 6715 Ne 63rd St Ste 101 Vancouver WA 98661-1980 Ph: (360) 699-5555 |
| NPI Number | 1952571382 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952571382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Washington) | Primary |
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