Organization
KIMATHI PEDIATRIC DENTISTRY PC
Active
Other names
First Care Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS KIMATHI DDS (PRESIDENT)
(770) 942-1260
Entity
Organization
Contact information
Practice address
3432 HIGHWAY 5, DOUGLASVILLE, GA 30135-2310
(770) 942-1260
(770) 942-9244
Mailing address
3432 HIGHWAY 5, DOUGLASVILLE, GA 30135-2310
(770) 942-1260
(770) 942-9244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013750
GA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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