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1417097213
STEPHEN MICHAEL TRAVIS
BOULDER, CO
NPI
1417097213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CO 4850)
Enumeration Date
2007-02-08
Last Update Date
2014-10-23
Business Address
DR. STEPHEN MICHAEL TRAVIS D.D.S
350 BROADWAY ST STE 10
BOULDER, CO 80305-3300
Phone number: 303-494-8200
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Mailing Address
DR. STEPHEN MICHAEL TRAVIS D.D.S
2491 LINDEN DR
BOULDER, CO 80304-0427
Phone number: 303-444-5998
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