Individual
TRAVIS HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3409 N 56TH ST STE B, PHOENIX, AZ 85018-6150
(480) 947-4791
Mailing address
3409 N 56TH ST STE B, PHOENIX, AZ 85018-6150
(480) 947-4791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012588
AZ
Other
Enumeration date
07/15/2019
Last updated
09/29/2025
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