Organization
TRAVIS D TRAMEL RDHAP, INC
Active
Other names
GeriSmiles Hygiene Practice of Travis Tramel RDHAP
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS TRAMEL RDHAP (CEO)
(951) 757-9964
Entity
Organization
Contact information
Practice address
4199 FLAT ROCK DR, SUITE 127, RIVERSIDE, CA 92505-7115
(951) 428-1714
Mailing address
4199 FLAT ROCK DR, SUITE 127, RIVERSIDE, CA 92505-7115
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
HAP588
CA
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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