# FEDERAL WAY DENTAL LLC

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

## Provider details

- **NPI number:** 1619308137
- **Authorized official:** NANDITA LILLY (DENTIST)
- **Authorized official phone:** (253) 839-1007

## Contact information

- **Practice address:** 31401 PACIFIC HWY S, FEDERAL WAY, WA 98003-5403
- **Practice address phone:** (253) 839-1007
- **Practice address fax:** (253) 839-4035
- **Mailing address:** 31401 PACIFIC HWY S, FEDERAL WAY, WA 98003-5403
- **Mailing address phone:** (253) 839-1007
- **Mailing address fax:** (253) 839-4035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60398437 | WA | Yes |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 12/09/2013