| NPI | 1912638917 |
|---|---|
| Doing Business As | KING FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SASSAN BASSIRI Dentist 336-983-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-29 |