# SOUTH TACOMA DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Dental South Tacoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396080032
- **Authorized official:** MATTHEW NUTTALL (PARTNER/OWNER)
- **Authorized official phone:** (253) 537-1559

## Contact information

- **Practice address:** 223 140TH ST S, TACOMA, WA 98444
- **Practice address phone:** (253) 537-1559
- **Practice address fax:** (253) 472-3016
- **Mailing address:** 223 140TH ST S, TACOMA, WA 98444
- **Mailing address phone:** (253) 537-1559
- **Mailing address fax:** (253) 472-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60178653 | WA | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 02/21/2023