Individual
DR. TRAVIS K KIMATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
375 PARKWAY 575, #100, WOODSTOCK, GA 30188-6439
(770) 924-0424
(770) 592-0636
Mailing address
1821 MONROE DR NE, ATLANTA, GA 30324-5007
(404) 863-8355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027117
IL
1223P0221X
Pediatric Dentistry
Primary
DN013750
GA
Other
Enumeration date
11/02/2007
Last updated
05/15/2015
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