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Organization

MIDTOWN DENTAL STUDIO LLC

Active
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Organization

MIDTOWN DENTAL STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRAVON J HOLT (CEO/DENTIST)
(404) 937-6940
Entity
Organization

Contact information

Practice address
197 14TH ST NW, SUITE 101, ATLANTA, GA 30318-7815
(404) 937-6940
Mailing address
197 14TH ST NW, SUITE 101, ATLANTA, GA 30318-7815
(404) 937-6940

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—

Other

Enumeration date
12/05/2012
Last updated
12/05/2012
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