TRAVIS ROYCE BASKERVILLE

VANCOUVER, WA
NPI1699203109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  60772184)
Enumeration Date2017-05-28
Last Update Date2018-08-20
Business Address
DR. TRAVIS ROYCE BASKERVILLE DMD
12116 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Phone number: 360-256-8200
Mailing Address
DR. TRAVIS ROYCE BASKERVILLE DMD
503 N 41ST AVE
RIDGEFIELD, WA 98642-8074
Phone number: 503-709-9322