Individual
DR. TREVOR TREASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
12436 BREAKLINES ST, SUITE 408, CARMEL, IN 46032-7678
(317) 625-7560
Mailing address
12436 BREAKLINES ST, SUITE 408, CARMEL, IN 46032-7678
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010719A
IN
Other
Enumeration date
07/18/2005
Last updated
09/19/2016
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