Individual
TRAVIS TRAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDHAP
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
(951) 428-1714
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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