| NPI | 1154617942 |
|---|---|
| Doing Business As | COMFORT DENTAL NORTH LAKEWOOD |
| Entity Type | Organization |
| Authorized Contact | TRAVIS PROBST Dentist 253-475-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 60198294) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |