First Care Pediatric Dentistry | |
3432 Highway 5 Douglasville GA 30135-2310 | |
(770) 942-1260 | |
(770) 942-9244 |
Full Name | First Care Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3432 Highway 5, Douglasville, Georgia |
Authorized Official Name and Position | Travis Kimathi (PRESIDENT) |
Authorized Official Contact | 7709421260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Care Pediatric Dentistry 3432 Highway 5 Douglasville GA 30135-2310 Ph: (770) 942-1260 | First Care Pediatric Dentistry 3432 Highway 5 Douglasville GA 30135-2310 Ph: (770) 942-1260 |
NPI Number | 1679833990 |
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Provider Enumeration Date | 05/21/2012 |
Last Update Date | 05/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679833990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN013750 (Georgia) | Primary |
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