Organization
JUPITER ORTHODONTICS INC
Active
Organization
JUPITER ORTHODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY KERMIT KING D.D.S. (PRESIDENT)
(561) 747-5766
Entity
Organization
Contact information
Practice address
24 N LOXAHATCHEE DR STE 4, JUPITER, FL 33458-3584
(561) 747-5766
(561) 744-2158
Mailing address
24 N LOXAHATCHEE DR STE 4, JUPITER, FL 33458-3584
(561) 747-5766
(561) 744-2158
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN7278
FL
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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