Individual
DR. MICHAEL ENON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16689 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4630
(703) 221-9759
(703) 221-2788
Mailing address
16689 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4630
(703) 221-9759
(703) 221-2788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008593
VA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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