CASEY EDWARD TRAVELSTED

BOWLING GREEN, KY
NPI1831572460
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  9614)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- CASEY EDWARD TRAVELSTED DMD
940 US 31 W BYPASS
BOWLING GREEN, KY 42103
Phone number: 270-991-9138
Mailing Address
-- CASEY EDWARD TRAVELSTED DMD
940 US 31W BYP
BOWLING GREEN, KY 42101-2316
Phone number: 270-991-9138
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