Individual
DR. JONATHAN BRADFORD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
24185 US HIGHWAY 27, LAKE WALES, FL 33859-7819
(863) 676-6200
Mailing address
6925 BUSHNELL DR, LAKELAND, FL 33813-3760
(770) 757-7960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26861
FL
Other
Enumeration date
05/01/2022
Last updated
05/25/2022
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