| NPI | 1265029797 |
|---|---|
| Doing Business As | KING DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAITLYN VERNON Dentist 573-392-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-01-04 |