Organization
SMILES 4 KIDS ALLENMORE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN VANBIBBER (PRESIDENT)
(253) 537-5437
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, SUITE B3008, TACOMA, WA 98405-1702
(253) 537-5437
Mailing address
1901 S UNION AVE, SUITE B3008, TACOMA, WA 98405-1702
(253) 537-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60282727
WA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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