| Travis Kimathi Dds Pc | |
|
375 Parkway 575 #100 Woodstock GA 30188-6439 | |
| (770) 924-0424 | |
| (770) 592-0636 |
| Full Name | Travis Kimathi Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 375 Parkway 575, Woodstock, Georgia |
| Authorized Official Name and Position | Travis Kimathi (PRESIDENT) |
| Authorized Official Contact | 7709240424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Kimathi Dds Pc 375 Parkway 575 #100 Woodstock GA 30188-6439 Ph: (770) 924-0424 | Travis Kimathi Dds Pc 375 Parkway 575 #100 Woodstock GA 30188-6439 Ph: (770) 924-0424 |
| NPI Number | 1316207996 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316207996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013750 (Georgia) | Primary |
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