# JUSTIN VANBIBBER DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daybreak Smiles Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821525288
- **Authorized official:** CHRISTINA OJEDA (MANAGER)
- **Authorized official phone:** (253) 347-9917

## Contact information

- **Practice address:** 4775 W DAYBREAK PKWY STE 103, SOUTH JORDAN, UT 84009-5139
- **Practice address phone:** (801) 999-4640
- **Mailing address:** 4775 W DAYBREAK PKWY STE 103, SOUTH JORDAN, UT 84009-5139
- **Mailing address phone:** (801) 999-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 9429669 | UT | Yes |

## Other

- **Enumeration date:** 05/17/2017
- **Last updated:** 07/21/2022