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1699203109
TRAVIS ROYCE BASKERVILLE
VANCOUVER, WA
NPI
1699203109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 60772184)
Enumeration Date
2017-05-28
Last Update Date
2018-08-20
Business Address
Dr. TRAVIS ROYCE BASKERVILLE DMD
12116 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Phone number: 360-256-8200
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Mailing Address
Dr. TRAVIS ROYCE BASKERVILLE DMD
503 N 41ST AVE
RIDGEFIELD, WA 98642-8074
Phone number: 503-709-9322
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