Organization
VANBIBBER HAUGHT DDS PC
Active
Other names
Kids Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN L VANBIBBER DMD (PRESIDENT)
(253) 537-5437
Entity
Organization
Contact information
Practice address
6344 LITTLEROCK RD SW, BLDG 2, TUMWATER, WA 98512-7332
(253) 537-5437
(253) 537-5438
Mailing address
1148 72ND ST E, STE B, TACOMA, WA 98404-1800
(253) 537-5437
(253) 537-5438
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60282727
WA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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