| NPI | 1831520162 |
|---|---|
| Doing Business As | COMFORT DENTAL LACEY |
| Entity Type | Organization |
| Authorized Contact | SCOTT PROBST Owner 253-537-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 60178653) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |