Travis, Dale Kenneth

Travis, Dale Kenneth is an sole proprietor health care provider with primary practice located at 17416 135Th Ave Ne , Woodinville WA 98072. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Travis, Dale Kenneth can be contacted via phone (425) 483-5959.

Contact Information

Primary practice address
17416 135Th Ave Ne Woodinville WA 98072
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5037 Washington

Profile Details

NPI number 1184021297
LBN Legal business name Travis, Dale Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2014
Last updated Dec 4th, 2014 - about 10 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.

Request for update

Popular Providers