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NPI Profile for TRAVIS C BRISENO in MEDFORD, OR.
A dental technician specializing in making and fitting dentures as a direct service to the public rather than through a licensed dentist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Denturist |
122400000X |
| NPI # | 1730679168 |
|
| Status | Active | |
| Credentials | LD | |
| Entity | Individual | |
| Enumeration date | 05/10/2018 | |
| Last updated | 05/15/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRAVIS C BRISENO
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TRAVIS C BRISENO, LD