Kids Dental of Centralia, P.c.
NPI #1659796076 in Centralia, Washington
Provider Information
- NPI Number
- 1659796076
- Entity Type
- Organization
- Organization Name
- Kids Dental of Centralia, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 21, 2014
- Last Updated
- Feb 21, 2014
Practice Location
- Address
- 1611 KRESKY AVE
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-8982
- Phone
- (360) 736-5437
Authorized Official
- Name
- JUSTIN VANBIBBER
- Title
- OWNER
- Phone
- (360) 736-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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