Individual
DR. TRAVIS PG BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 ELM AVE, ROANOKE, VA 24013
(540) 224-4380
(540) 224-4385
Mailing address
PO BOX 688, BLACK MOUNTAIN, NC 28711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411510
VA
Other
Enumeration date
10/03/2006
Last updated
03/07/2023
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