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Search › Arizona › 1223G0001X

Travis Shore, DMD

NPI 1891313300 · on the registry since 2020

Practice

Address
1993 Frontage Rd Ste 208
Sierra Vista, AZ 85635
Phone
(520) 458-4646
Organisation at this address
Gayle Y. Lundtvedt, D.M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-22

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 Arizona