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 |