| NPI | 1164197125 |
|---|---|
| Doing Business As | COMFORT DENTAL KIDS FAIRWOOD |
| Entity Type | Organization |
| Authorized Contact | TRAVIS PROBST Owner/Dentist 253-631-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |