| NPI | 1083019210 |
|---|---|
| Doing Business As | COMFORT DENTAL WEST KENT |
| Entity Type | Organization |
| Authorized Contact | WYATT WILSON Dentist 253-878-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60487989) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |