# TRAVIS LUKE, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801694203
- **Authorized official:** DR. TRAVIS HAROLD LUKE DDS (OWNER)
- **Authorized official phone:** (509) 941-3662

## Contact information

- **Practice address:** 55 E TALLAHASSEE DR, CORONA DE TUCSON, AZ 85641-2310
- **Practice address phone:** (520) 762-0123
- **Mailing address:** 4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 03/03/2025