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Individual
SHAE KING
Active
Individual
SHAE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12295
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
06/15/2021
Last updated
06/28/2022
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