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Organization
KINGDENTAL
Active
Organization
KINGDENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT L KING DDS (CEO)
(818) 348-1506
Entity
Organization
Contact information
Practice address
7349 TOPANGA CANYON BLVD, CANOGA PARK, CA 91303-1244
(818) 348-1506
(818) 348-4883
Mailing address
646 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1308
(323) 464-8677
(323) 463-4692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36423
LICENCE #
CA
01
—
36463
LICENCE NUMBER
CA
01
—
G3983-02
DENTI-CAL
CA
Enumeration date
02/22/2007
Last updated
09/20/2016
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