# JUSTIN VANBIBBER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burien Children's Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689029688
- **Authorized official:** JUSTIN VANBIBBER DMD (OWNER)
- **Authorized official phone:** (253) 537-5437

## Contact information

- **Practice address:** 14411 AMBAUM BLVD SW, BURIEN, WA 98166-1423
- **Practice address phone:** (206) 246-4559
- **Mailing address:** 1148 72ND ST E, SUITE B, TACOMA, WA 98404-1800
- **Mailing address phone:** (253) 537-5437
- **Mailing address fax:** (253) 537-5438

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2016
- **Last updated:** 04/27/2016