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Individual

DR. TRAVIS NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1127 QUEENSBOROUGH BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-5431
(843) 884-6336
Mailing address
1127 QUEENSBOROUGH BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-5431
(843) 884-6336

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4149
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
631
SC

Other

Enumeration date
12/19/2006
Last updated
06/09/2008
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