Individual
TRAVIS T BODILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
425 NORTH OVERLAND AVENUE, BURLEY, ID 83318
(208) 430-9555
(208) 679-3679
Mailing address
425 NORTH OVERLAND AVENUE, BURLEY, ID 83318
(208) 679-1679
(208) 679-1679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4151
ID
Other
Enumeration date
06/18/2008
Last updated
07/30/2025
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