Organization
HARBOR KIDS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN VANBIBBER DMD (OWNER)
(801) 231-6682
Entity
Organization
Contact information
Practice address
216 W HERON ST, ABERDEEN, WA 98520-6225
(360) 532-5437
Mailing address
1148 72ND ST E, SUITE B, TACOMA, WA 98404-1705
(253) 537-5437
(253) 537-5438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60282727
WA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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