| Travis Luke, Dds, Pllc | |
|
55 E Tallahassee Dr Corona De Tucson AZ 85641-2310 | |
| (520) 762-0123 | |
| Not Available |
| Full Name | Travis Luke, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 55 E Tallahassee Dr, Corona De Tucson, Arizona |
| Authorized Official Name and Position | Travis Harold Luke (OWNER) |
| Authorized Official Contact | 5099413662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Luke, Dds, Pllc 4539 N 22nd St Ste R Phoenix AZ 85016-4639 Ph: () - | Travis Luke, Dds, Pllc 55 E Tallahassee Dr Corona De Tucson AZ 85641-2310 Ph: (520) 762-0123 |
| NPI Number | 1801694203 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801694203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Corona Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Tallahassee Dr, Corona De Tucson, AZ 85641 Phone: 520-762-0123 Fax: 520-762-1100 |