Organization
WE CARE MOBILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TRAVIS DDS (DENTIST)
(314) 452-1423
Entity
Organization
Contact information
Practice address
6903 WATERMAN AVE, SAINT LOUIS, MO 63130-4333
(314) 276-8090
Mailing address
6903 WATERMAN AVE, SAINT LOUIS, MO 63130-4333
(314) 276-8090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2011019745
MO
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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