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Organization
WEST KENT DENTAL LLC
Active
Organization
WEST KENT DENTAL LLC
Active
Other names
Comfort Dental West Kent
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT WILSON DMD (DENTIST)
(253) 878-8174
Entity
Organization
Contact information
Practice address
23241 PACIFIC HWY S, KENT, WA 98032-2721
(253) 878-8174
Mailing address
23241 PACIFIC HWY S, KENT, WA 98032-2721
(253) 878-8174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60487989
WA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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