Organization · Type 2 NPI
Travis Clark DDS LLC
Dental Clinic/Center · Lebanon, OH
NPI number
1093329914
Active
Practice location
1248 Columbus Ave Ste 8
Lebanon, OH 45036-9005
Fax (513) 932-0152
Mailing address
7845 Plantation Dr
Mason, OH 45040-5944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Lebanon
About NPI 1093329914
Travis Clark DDS LLC's National Provider Identifier is 1093329914, issued on Sep 8, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lebanon, OH. The record was last updated on Sep 8, 2020.