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Organization
TRAVIS L KENDALL DDS PLLC
Active
Organization
TRAVIS L KENDALL DDS PLLC
Active
Other names
Texas Sedation Dental & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS LANE KENDALL DDS (DENTIST)
(903) 758-5551
Entity
Organization
Contact information
Practice address
444 FOREST SQ STE E, LONGVIEW, TX 75605-4463
(903) 758-5551
(903) 758-5877
Mailing address
444 FOREST SQ STE E, LONGVIEW, TX 75605-4463
(903) 758-5551
(903) 758-5877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2019
Last updated
06/11/2020
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