Organization
FEDERAL WAY DENTAL LLC
Active
Other names
Comfort Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NANDITA LILLY (DENTIST)
(253) 839-1007
Entity
Organization
Contact information
Practice address
31401 PACIFIC HWY S, FEDERAL WAY, WA 98003-5403
(253) 839-1007
(253) 839-4035
Mailing address
31401 PACIFIC HWY S, FEDERAL WAY, WA 98003-5403
(253) 839-1007
(253) 839-4035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60398437
WA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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