Organization
ATLANTA WEST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS WATSON D.M.D. (PRESIDENT)
(770) 941-6979
Entity
Organization
Contact information
Practice address
1599 MULKEY RD, AUSTELL, GA 30106-1111
(770) 941-6979
(770) 732-6292
Mailing address
1599 MULKEY RD, AUSTELL, GA 30106-1111
(770) 941-6979
(770) 732-6292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012720
GA
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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