# LANDON KING DDS JUSTIN VANBIBBER DMD PLLC

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

## Provider details

- **NPI number:** 1851110746
- **Authorized official:** LANDON KING DDS (OWNER)
- **Authorized official phone:** (360) 907-9662

## Contact information

- **Practice address:** 17415 PACIFIC AVE S STE AB, SPANAWAY, WA 98387-8200
- **Practice address phone:** (360) 907-9662
- **Mailing address:** 3800 NW JASMINE ST, CAMAS, WA 98607-4403
- **Mailing address phone:** (801) 231-6682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024