Organization
FAIRWOOD DENTAL LLC
Active
Other names
Comfort Dental Fairwood
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS PROBST DDS (OWNER)
(253) 631-3015
Entity
Organization
Contact information
Practice address
14250 SE 176TH #J7, RENTON, WA 98058
(253) 631-3015
Mailing address
14250 SE 176TH #J7, RENTON, WA 98058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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