# JUSTIN VANBIBBER II DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harbor Kids Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093293219
- **Authorized official:** CHRISTINA OJEDA (REGIONAL MGR)
- **Authorized official phone:** (253) 759-5437

## Contact information

- **Practice address:** 900 OCEAN BEACH HWY STE A, LONGVIEW, WA 98632-4013
- **Practice address phone:** (253) 759-5437
- **Practice address fax:** (253) 426-1836
- **Mailing address:** 5401 6TH AVE STE 201, TACOMA, WA 98406-2618
- **Mailing address phone:** (253) 759-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60282727 | WA | Yes |

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 07/31/2018