Smiles 4 Kids Pc | |
1148 72nd St E Suite B Tacoma WA 98404-1705 | |
(801) 819-3666 | |
Not Available |
Full Name | Smiles 4 Kids Pc |
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Speciality | Dentist - General Practice |
Location | 1148 72nd St E, Tacoma, Washington |
Authorized Official Name and Position | Justin Vanbibber (OWNER) |
Authorized Official Contact | 8012316682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles 4 Kids Pc 1148 72nd St E Suite B Tacoma WA 98404-1705 Ph: (801) 819-3666 | Smiles 4 Kids Pc 1148 72nd St E Suite B Tacoma WA 98404-1705 Ph: (801) 819-3666 |
NPI Number | 1467715508 |
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Provider Enumeration Date | 06/22/2012 |
Last Update Date | 06/22/2012 |
Identifier | Type | State | Issuer |
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1467715508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE60282727 (Washington) | Primary |
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