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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