Individual
TRAVIS TRAMEL
Active
Individual
TRAVIS TRAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDHAP
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
588
CA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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