# NORTH LAKEWOOD DENTAL PLCC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Dental North Lakewood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154617942
- **Authorized official:** TRAVIS PROBST D.D.S. (DENTIST)
- **Authorized official phone:** (253) 475-9120

## Contact information

- **Practice address:** 5422 74TH ST W, SUITE B & C, LAKEWOOD, WA 98499-7900
- **Practice address phone:** (253) 475-9120
- **Practice address fax:** (253) 475-9284
- **Mailing address:** 5422 74TH ST W, SUITE B & C, LAKEWOOD, WA 98499-7900
- **Mailing address phone:** (253) 475-9120
- **Mailing address fax:** (253) 475-9284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 60198294 | WA | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 06/21/2011