Individual
DR. TREAVOR FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
328 S 2ND ST, COOS BAY, OR 97420-1606
(541) 269-2100
Mailing address
328 S 2ND ST, COOS BAY, OR 97420-1606
(541) 269-2100
(541) 267-7241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9340
OR
Other
Enumeration date
01/04/2012
Last updated
02/14/2023
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