| NPI | 1740644582 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF WENATCHEE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN VANBIBBER President 253-537-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60282727) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |