| NPI | 1093110215 |
|---|---|
| Doing Business As | COMFORT DENTAL LAKE MERIDIAN |
| Entity Type | Organization |
| Authorized Contact | TRAVIS JOHN PROBST Dentist 253-631-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60198294) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |