Individual
MR. TRAVIS LADEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 275-4904
(406) 275-4815
Mailing address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 275-4904
(406) 275-4815
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
683
SD
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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