Organization
KING FAMILY DENTAL CARE, PC
Active
Other names
Charles C. King, Sr, DMD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KING SR. DMD (CEO)
(229) 435-0677
Entity
Organization
Contact information
Practice address
915 W HIGHLAND AVE, ALBANY, GA 31701-2735
(229) 435-0677
(229) 439-0533
Mailing address
915 W HIGHLAND AVE, ALBANY, GA 31701-2735
(229) 435-0677
(229) 439-0533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9184393
—
GA
Enumeration date
03/26/2008
Last updated
03/26/2008
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