Briseno, Travis C.

Briseno, Travis C. is an individual health care provider with primary practice located at 773 Golf View Dr , Medford OR 97504. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Briseno, Travis C. can be contacted via phone (855) 433-6825.

Contact Information

Primary practice address
773 Golf View Dr Medford OR 97504
Phone: (855) 433-6825
Fax: (503) 952-2267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DT-TMP-10190928 Oregon

Profile Details

NPI number 1730679168
LBN Legal business name Briseno, Travis C.
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated May 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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