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Organization
BRIAN J. KING DDS PC
Active
Organization
BRIAN J. KING DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH KING DDS (OWNER)
(574) 293-4213
Entity
Organization
Contact information
Practice address
25947 COUNTY ROAD 20, ELKHART, IN 76517-2301
(574) 293-4213
(574) 294-8795
Mailing address
25947 COUNTY ROAD 20, ELKHART, IN 76517-2301
(574) 293-4213
(574) 294-8795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1200-9912A
IN
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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