| Harbor Kids Dental & Orthodontics Of Tacoma Pc | |
|
4002 S M St Tacoma WA 98418-3800 | |
| (253) 474-0606 | |
| (253) 537-5438 |
| Full Name | Harbor Kids Dental & Orthodontics Of Tacoma Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4002 S M St, Tacoma, Washington |
| Authorized Official Name and Position | Justin L Vanbibber (OWNER) |
| Authorized Official Contact | 2535375437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Kids Dental & Orthodontics Of Tacoma Pc 4002 S M St Tacoma WA 98418-3800 Ph: (253) 474-0606 | Harbor Kids Dental & Orthodontics Of Tacoma Pc 4002 S M St Tacoma WA 98418-3800 Ph: (253) 474-0606 |
| NPI Number | 1639536097 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639536097 | NPI | - | NPPES |
| DE60282727 | Other | WA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60282727 (Washington) | Primary |
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