King Benjamin Dental Pllc

NPI #1366262701 in Naples, Florida

Provider Information

NPI Number: 1366262701
Entity Type: Organization
Organization Name: King Benjamin Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 11, 2024
Last Updated: Oct 11, 2024

Practice Location

Address: 3467 PINE RIDGE RD STE 101
City: Naples
State: Florida
ZIP Code: 34109-3832
Phone: (239) 251-5045

Authorized Official

Name: BRADLY MOURITSEN
Title: SOLE MEMBER
Phone: (239) 251-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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