# WELCH VANBIBBER HAUGHT DDS PC

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

## Provider details

- **NPI number:** 1487176228
- **Authorized official:** CHRISTINA OJEDA (REGIONAL MANAGER)
- **Authorized official phone:** (253) 347-9917

## Contact information

- **Practice address:** 1417 E FRONT ST, PORT ANGELES, WA 98362-4618
- **Practice address phone:** (253) 759-5437
- **Mailing address:** 5401 6TH AVE STE 201, TACOMA, WA 98406-2618
- **Mailing address phone:** (253) 759-5437
- **Mailing address fax:** (253) 426-1836

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/13/2017