Organization
KING PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA KING (OWNER/DMD)
(954) 451-0265
Entity
Organization
Contact information
Practice address
1695 N PARK DR STE 102, WESTON, FL 33326-3294
(954) 451-0265
Mailing address
1695 N PARK DR STE 102, WESTON, FL 33326-3294
(954) 451-0265
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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