| NPI | 1881959278 |
|---|---|
| Doing Business As | COMFORT DENTAL - STATE AVENUE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW FOGG TINGEY Dentist 913-213-6973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60853) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |