King Smiles Ii, P.a.

NPI #1063690378 in Lakeway, Texas

Provider Information

NPI Number: 1063690378
Entity Type: Organization
Organization Name: King Smiles Ii, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 8, 2008
Last Updated: Feb 8, 2008

Practice Location

Address: 208 SENDERA BONITA
City: Lakeway
State: Texas
ZIP Code: 78734-3951
Phone: (512) 507-8468

Authorized Official

Name: JULIAN FONCELL POWERS
Title: INSURANCE COORD.
Phone: (512) 832-8448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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