Organization
TRAVIS KIMATHI DDS PC
Active
Other names
First Care Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS KIMATHI DDS (PRESIDENT)
(770) 924-0424
Entity
Organization
Contact information
Practice address
375 PARKWAY 575, #100, WOODSTOCK, GA 30188-6439
(770) 924-0424
(770) 592-0636
Mailing address
375 PARKWAY 575, #100, WOODSTOCK, GA 30188-6439
(770) 924-0424
(770) 592-0636
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013750
GA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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