Kids Dental And Orthodontics | |
6344 Littlerock Rd Sw Bldg 2 Tumwater WA 98512-7332 | |
(253) 537-5437 | |
(253) 537-5438 |
Full Name | Kids Dental And Orthodontics |
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Speciality | Dentist - Pediatric Dentistry |
Location | 6344 Littlerock Rd Sw, Tumwater, Washington |
Authorized Official Name and Position | Justin L Vanbibber (PRESIDENT) |
Authorized Official Contact | 2535375437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Dental And Orthodontics 1148 72nd St E Ste B Tacoma WA 98404-1800 Ph: (253) 537-5437 | Kids Dental And Orthodontics 6344 Littlerock Rd Sw Bldg 2 Tumwater WA 98512-7332 Ph: (253) 537-5437 |
NPI Number | 1295195741 |
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Provider Enumeration Date | 02/26/2016 |
Last Update Date | 02/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295195741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DE60282727 (Washington) | Primary |
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