Individual
TRAVIS BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3235 N TOWERBRIDGE WAY, MERIDIAN, ID 83646-5721
(208) 888-7711
Mailing address
8339 SW SHAWMUT DR, BEAVERTON, OR 97007-8593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NA
ID
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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