Organization
BONNEY LAKE DENTAL LLC
Active
Other names
Comfort Dental Bonney Lake
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS PROBST DDS (OWNER /DENTIST)
(719) 352-5773
Entity
Organization
Contact information
Practice address
19410 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8470
(253) 780-7003
Mailing address
19410 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8470
(253) 780-7003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144431529
NPI
WA
Enumeration date
10/11/2018
Last updated
10/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us