# VANBIBBER WENATCHEE PC

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

## Provider details

- **NPI number:** 1740644582
- **Authorized official:** JUSTIN VANBIBBER DMD (PRESIDENT)
- **Authorized official phone:** (253) 537-5437

## Contact information

- **Practice address:** 650 N MILLER ST, WENATCHEE, WA 98801-2044
- **Practice address phone:** (509) 662-3621
- **Mailing address:** 1148 72ND ST E, SUITE B, TACOMA, WA 98404-1800
- **Mailing address phone:** (253) 537-5437

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2016
- **Last updated:** 04/07/2016