Individual
ELIAS TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
232 CHRISTOPHER COLUMBUS DR, JERSEY CITY, NJ 07302-3434
(260) 333-2982
Mailing address
232 CHRISTOPHER COLUMBUS DR, JERSEY CITY, NJ 07302-3434
(260) 333-2982
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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