Treavor D Fisher, Dds, LLC

NPI #1962765453 in Coos Bay, Oregon

Provider Information

NPI Number
1962765453
Entity Type
Organization
Organization Name
Treavor D Fisher, Dds, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 19, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
470 HIGHLAND AVE
State
Oregon
ZIP Code
97420-2243
Phone
(541) 269-2100

Authorized Official

Name
DR. TREAVOR D FISHER, DDS
Title
DENTIST
Phone
(541) 554-4734

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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