Individual
TRAVIS JAMES MAGELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
128 N BLAKELEY ST, MONROE, WA 98272-1823
(360) 794-8292
(360) 794-8023
Mailing address
PO BOX 400, 128 NORTH BLAKELY, MONROE, WA 98272-0400
(360) 794-8292
(360) 794-8023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 9033
WA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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