Individual
DR. TRAVIS THOMAS GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
8690 N LAUREL AVE APT 2409, KANSAS CITY, MO 64157-7969
(701) 426-7132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008013578
MO
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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