Organization
FAIRWOOD PEDODONTICSLLC
Active
Other names
Comfort Dental Kids Fairwood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS PROBST (OWNER/DENTIST)
(253) 631-3015
Entity
Organization
Contact information
Practice address
14246 SE 176TH ST, RENTON, WA 98058-8787
(425) 523-1211
Mailing address
14246 SE 176TH ST, RENTON, WA 98058-8787
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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