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Organization

TRAVON HOLT DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAHISAH HOLT (ADMINSTRATOR)
(404) 629-9290
Entity
Organization

Contact information

Practice address
3515 CAMP CREEK PT, SUITE 100, ATLANTA, GA 30344-8140
(404) 629-9290
(404) 629-9335
Mailing address
3515 CAMP CREEK PT, SUITE 100, ATLANTA, GA 30344-8140
(404) 629-9290
(404) 629-9335

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012908
GA

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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