MR. Travis Ladel Fisher, RDH

NPI #1962617704 in Polson, Montana

Provider Information

NPI Number: 1962617704
Entity Type: Individual
Name: MR. Travis Ladel Fisher, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5 4TH AVE E
City: Polson
State: Montana
ZIP Code: 59860-2117
Phone: (406) 275-4904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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