Individual
TRAVIS DAN LUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1135 VITALITY DR STE 130, HENDERSON, NV 89011-4809
(702) 359-7401
Mailing address
6154 DUTCH FORK ST, LAS VEGAS, NV 89148-4744
(907) 841-0572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62986
CA
1223E0200X
Endodontics
Primary
S7-143
NV
Other
Enumeration date
11/07/2012
Last updated
05/11/2024
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