| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467715508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60282727 (Washington) | Primary |
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