| King Pediatric Dentistry, Pllc | |
|
1695 N Park Dr Ste 102 Weston FL 33326-3294 | |
| (954) 451-0265 | |
| Not Available |
| Full Name | King Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1695 N Park Dr Ste 102, Weston, Florida |
| Authorized Official Name and Position | Alicia King (OWNER/DMD) |
| Authorized Official Contact | 9544510265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Pediatric Dentistry, Pllc 1695 N Park Dr Ste 102 Weston FL 33326-3294 Ph: (954) 451-0265 | King Pediatric Dentistry, Pllc 1695 N Park Dr Ste 102 Weston FL 33326-3294 Ph: (954) 451-0265 |
| NPI Number | 1790455459 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790455459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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