Individual
TRAVIS A RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4159 N MAYO TRL, SUITE 200, 203, PIKEVILLE, KY 41501-3211
(606) 432-0101
Mailing address
2037 STONE COAL RD, PIKEVILLE, KY 41501-5720
(606) 437-2372
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401410743
VA
122300000X
Dentist
Primary
8549
KY
Other
Enumeration date
08/25/2006
Last updated
11/05/2007
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