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Individual
DR. JEREMY RICHARD KING
Active
Individual
DR. JEREMY RICHARD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8487
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001640757
UNITED CONCORDIA
PA
Enumeration date
07/25/2008
Last updated
07/25/2008
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