TRAVIS ROYCE

NAMPA, ID
NPI1366672156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4245)
Enumeration Date2009-07-15
Last Update Date2013-02-28
Business Address
-- TRAVIS ROYCE
1601 12TH AVE RD STE 103
NAMPA, ID 83686-6185
Phone number: 208-467-9690
Mailing Address
-- TRAVIS ROYCE
122 W OAK ST
CALDWELL, ID 83605-5147
Phone number: