We determine D and D(s) decay constants from lattice QCD with 2% errors, 4 times better than experiment and previous theory: f(D(s))=241(3) MeV, f(D)=207(4) MeV, and fD(s))/f(D)=1.164(11). We also obtain f(K)/f(pi)=1.189(7) and (f(D(s))/f(D))/(f(K)/f(pi))=0.979(11). Combining with experiment gives V(us)=0.2262(14) and V(cs)/V(cd) of 4.43(41). We use a highly improved quark discretization on MILC gluon fields that include realistic sea quarks, fixing the u/d, s, and c masses from the pi, K, and eta(c) meson masses. This allows a stringent test against experiment for D and D(s) masses for the first time (to within 7 MeV).
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