Individual
TRAVIS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 10TH AVE S STE 2, GREAT FALLS, MT 59405-3267
(406) 453-6467
Mailing address
2817 10TH AVE S STE 2, GREAT FALLS, MT 59405-3267
(406) 453-6467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-25992
MT
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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