Organization
DENTAL CENTER OF BAXLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GARNTO DMD (DENTIST)
(912) 367-4314
Entity
Organization
Contact information
Practice address
51 WALNUT STREET, BAXLEY, GA 31513
(912) 367-4314
Mailing address
51 WALNUT ST, BAXLEY, GA 31513-0118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015413
GA
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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