Individual
DR. TRAVIS R WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4745 BOARDWALK DR STE D102, FORT COLLINS, CO 80525-3773
(970) 223-6101
(970) 530-1593
Mailing address
4745 BOARDWALK DR STE D102, FORT COLLINS, CO 80525-3773
(970) 223-6101
(970) 530-1593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9980
CO
Other
Enumeration date
07/22/2009
Last updated
07/21/2022
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