Individual
DR. TRAVIS J EGESDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 S 1ST ST, KNOXVILLE, IA 50138
(641) 842-2683
(641) 828-8171
Mailing address
112 S 1ST ST, KNOXVILLE, IA 50138
(641) 842-2683
(641) 828-8171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8155
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262683
—
IA
Enumeration date
11/06/2006
Last updated
07/08/2007
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