| 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 |