| NPI | 1295195741 |
|---|---|
| Doing Business As | KIDS DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JUSTIN L VANBIBBER President 253-537-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60282727) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |