| NPI | 1134503444 |
|---|---|
| Doing Business As | KING CENTRE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLEOPHUS BENSON CLARK Dentist Owner 703-719-9824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401003822) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-09-11 |