| Comfort Dental Lake Meridian | |
|
12906 Se Kent Kangley Rd Kent WA 98030-7940 | |
| (253) 631-3015 | |
| Not Available |
| Full Name | Comfort Dental Lake Meridian |
|---|---|
| Speciality | Dentist |
| Location | 12906 Se Kent Kangley Rd, Kent, Washington |
| Authorized Official Name and Position | Travis John Probst (DENTIST) |
| Authorized Official Contact | 2536313015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Dental Lake Meridian 12906 Se Kent Kangley Rd Kent WA 98030-7940 Ph: (253) 631-3015 | Comfort Dental Lake Meridian 12906 Se Kent Kangley Rd Kent WA 98030-7940 Ph: (253) 631-3015 |
| NPI Number | 1093110215 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093110215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60198294 (Washington) | Primary |
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