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 |