| NPI | 1730351040 |
|---|---|
| Former Legal Business Name | CHARLES C. KING, SR, DMD, PC |
| Entity Type | Organization |
| Authorized Contact | CHARLES KING CEO 229-435-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 09643) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |