NPI | 1275662793 |
---|---|
Doing Business As | KINGS CROWN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SHELLY DALEY KING President 239-337-5464 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15682) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |