Individual
DR. WARREN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2121 E DUPONT RD STE D, FORT WAYNE, IN 46825-1546
(260) 338-2643
Mailing address
2121 E DUPONT RD STE D, FORT WAYNE, IN 46825-1546
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013681A
IN
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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