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Search › Iowa › 124Q00000X

Jillian Travis, RDH

NPI 1821392457 · on the registry since 2010 · sole proprietor

Practice

Address
1213 W Nishna Rd
Shenandoah, IA 51601
Phone
(712) 246-2180
Fax
(712) 246-1683
Organisation at this address
Southwest Iowa Dental Associates Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Also registered as
1223G0001X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa