NPI | 1538732144 |
---|---|
Doing Business As | COMFORT DENTAL PORT ORCHARD |
Entity Type | Organization |
Authorized Contact | TRAVIS PROBST Dentist/Owner 253-306-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2021-07-21 |
Last Update Date | 2021-07-31 |