Organization
WEST KENT DENTAL LLC
Active
Other names
Comfort Dental West Kent
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT WILSON DMD (DENTIST)
(253) 878-8174
Entity
Organization
Contact information
Practice address
23241 PACIFIC HWY S, KENT, WA 98032-2721
(253) 878-8174
Mailing address
23241 PACIFIC HWY S, KENT, WA 98032-2721
(253) 878-8174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60487989
WA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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