Individual
TRAVIS W. STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
675 S 100 W STE 1, PAYSON, UT 84651-2883
(801) 465-1810
Mailing address
530 SOUTH WAKARA WAY, SCHOOL OF DENTISTRY UNIVERSITY OF UTAH, SALT LAKE CITY, UT 84108
(801) 587-2162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9431266-9922
UT
Other
Enumeration date
04/30/2015
Last updated
02/16/2020
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