# SMILES 4 KIDS ALLENMORE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194151845
- **Authorized official:** JUSTIN VANBIBBER (PRESIDENT)
- **Authorized official phone:** (253) 537-5437

## Contact information

- **Practice address:** 1901 S UNION AVE, SUITE B3008, TACOMA, WA 98405-1702
- **Practice address phone:** (253) 537-5437
- **Mailing address:** 1901 S UNION AVE, SUITE B3008, TACOMA, WA 98405-1702
- **Mailing address phone:** (253) 537-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60282727 | WA | Yes |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 09/25/2013