| King Benjamin Dental PLLC | |
|
3467 Pine Ridge Rd Ste 101 Naples FL 34109-3832 | |
| (239) 251-5045 | |
| Not Available |
| Full Name | King Benjamin Dental PLLC |
|---|---|
| Speciality | Dentist |
| Location | 3467 Pine Ridge Rd Ste 101, Naples, Florida |
| Authorized Official Name and Position | Bradly Mouritsen (SOLE MEMBER) |
| Authorized Official Contact | 2392515045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Benjamin Dental PLLC 18589 Sarasota Rd Fort Myers FL 33967-3520 Ph: (239) 240-5886 | King Benjamin Dental PLLC 3467 Pine Ridge Rd Ste 101 Naples FL 34109-3832 Ph: (239) 251-5045 |
| NPI Number | 1366262701 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366262701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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