DALE KENNETH TRAVIS

WOODINVILLE, WA
NPI1184021297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  5037)
Enumeration Date2014-12-04
Last Update Date2014-12-04
Business Address
-- DALE KENNETH TRAVIS DDS
17416 135TH AVE NE
WOODINVILLE, WA 98072
Phone number: 425-483-5959
Mailing Address
-- DALE KENNETH TRAVIS DDS
PO BOX 606
WOODINVILLE, WA 98072-0606
Phone number: 425-483-5959
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