Individual
DR. TRAVIS ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
Mailing address
14910 SE WOODLAND WAY, MILWAUKIE, OR 97267-2743
(971) 645-8068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60776469
WA
Other
Enumeration date
06/18/2017
Last updated
07/26/2017
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