Dale K Travis DDS Ps
NPI #1932203502 in Woodinville, Washington
Provider Information
- NPI Number
- 1932203502
- Entity Type
- Organization
- Organization Name
- Dale K Travis DDS Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Jun 1, 2012
Practice Location
- Address
- 17416 135TH AVE NE
- Address 2
- STE 201
- City
- Woodinville
- State
- Washington
- ZIP Code
- 98072
- Phone
- (425) 483-5959
Authorized Official
- Name
- DALE KENNETH TRAVIS, DDS
- Title
- DENTIST / OWNER
- Phone
- (425) 483-5959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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