Individual
KIMBERLY TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1105 KINWEST PKWY, SUITE 105, IRVING, TX 75063-3428
(972) 910-8202
(972) 910-8203
Mailing address
1105 KINWEST PKWY, SUITE 105, IRVING, TX 75063-3428
(972) 910-8202
(972) 910-8203
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306952734
NPI TYPE II FOR TRAVERS ORTHODONTICS PA
TX
Enumeration date
02/21/2017
Last updated
02/21/2017
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