| King Family Dental Care, P.a. | |
|
405 Hogan Ln Ste 1 Conway AR 72034-8202 | |
| (501) 336-0300 | |
| (501) 336-0545 |
| Full Name | King Family Dental Care, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 Hogan Ln Ste 1, Conway, Arkansas |
| Authorized Official Name and Position | Mitchell Delayne King (OWNER) |
| Authorized Official Contact | 5013360300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Family Dental Care, P.a. Po Box 10522 Conway AR 72034-0008 Ph: (501) 908-3108 | King Family Dental Care, P.a. 405 Hogan Ln Ste 1 Conway AR 72034-8202 Ph: (501) 336-0300 |
| NPI Number | 1356083034 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356083034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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