# HARBOR KIDS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942686845
- **Authorized official:** JUSTIN VANBIBBER DMD (OWNER)
- **Authorized official phone:** (360) 943-5775

## Contact information

- **Practice address:** 108 22ND AVE SW STE 16, OLYMPIA, WA 98501-2871
- **Practice address phone:** (360) 943-5775
- **Mailing address:** 1148 72ND ST E, SUITE B, TACOMA, WA 98404-1705
- **Mailing address phone:** (253) 537-5437

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2015
- **Last updated:** 08/04/2015