Individual
DR. TRAVIS VALMORE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12121 E BROADWAY AVE BLDG II, SPOKANE VALLEY, WA 99206-4972
(509) 924-1314
(509) 924-1348
Mailing address
12121 E BROADWAY AVE BLDG II, SPOKANE VALLEY, WA 99206-4972
(509) 924-1314
(509) 924-1348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
56165
CA
1223G0001X
General Practice Dentistry
Primary
DE00011148
WA
Other
Enumeration date
10/19/2007
Last updated
05/31/2011
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