Individual
DR. TRAVIS MCKENZIE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
96 LAMPLIGHTER ST, OAK HILL, WV 25901-9512
(304) 469-4911
(304) 469-4270
Mailing address
PO BOX 121, OAK HILL, WV 25901-0121
(304) 469-4911
(304) 469-4270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3532
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005081000
—
WV
Enumeration date
01/02/2007
Last updated
07/09/2007
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