# CD VANCOUVER SE LLP

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

## Provider details

- **NPI number:** 1639573611
- **Authorized official:** ERIC WOOD DDS (DENTIST)
- **Authorized official phone:** (360) 254-3990

## Contact information

- **Practice address:** 305 SE CHKALOV DR, VANCOUVER, WA 98683-5292
- **Practice address phone:** (360) 254-3990
- **Practice address fax:** (360) 254-3985
- **Mailing address:** 305 SE CHKALOV DR, VANCOUVER, WA 98683-5292
- **Mailing address phone:** (360) 254-3990
- **Mailing address fax:** (360) 254-3985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60492576 | WA | Yes |
| 122300000X | Dentist | DE60506244 | WA | — |

## Other

- **Enumeration date:** 10/20/2014
- **Last updated:** 10/20/2014