NPI | 1073088423 |
---|---|
Doing Business As | COMFORT DENTAL BONNEY LAKE |
Entity Type | Organization |
Authorized Contact | TRAVIS PROBST Owner /Dentist 719-352-5773 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-10-11 |
Last Update Date | 2018-10-11 |