Individual
DR. TRAVIS HAROLD LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1520 S MAIN ST, BLACKWELL, OK 74631-4921
(580) 262-8420
Mailing address
1601 CEDAR LN, PONCA CITY, OK 74604-3516
(509) 941-3662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7782
OK
1223G0001X
General Practice Dentistry
7782
OK
Other
Enumeration date
06/22/2023
Last updated
03/11/2025
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